.. ~"'''., jv::.",mo - Batangas Medical Center Official Website

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PURCHASE ORDER:

BATANGAS MEDICAL CENTER

Supplter: CRYSTAL GltEEN ENTEltPRlSES ' '.0. No.: 21-1'1-0435, ,

AddteSl: BatangatNamnnS!l Rosario, Batan~ " Date: Decembu 31, ltlll

TIN: 283-440-769~OOO ' Mode or Procurement:, SVP

Gentlemen':P1C(aSe,furoisb this Office the following articles subject to the tetm$ and Conditions contained herein:

Place of Defivery: Batailgas ,.Mec,tieal'Center Delivery Term: ~ P,O., iU! AcceptanceDate of Delivery: 10 eaIeDclar dal!!5!OD'ftCeij)tofP.O. Payment Term: ' ,30 QrueonJ:~me!e.ted_eliy.!?

_, ' "

StocklProperty Unit ' Description Quantity' Unit Cost' Amount

No, - - --- - , .. '" ~- -_' _., - ' ,.-..~...

, ,piece, Plastic Food aing Wrap 30 370.00 11,100.0012 iIIc/lesx 300 inett!n

r=- , ,---- i...., __ ,__ --.;_

"

~atangas rvk:J cal Center 'C bil/iiS3/G)\:j (~i\J AUDIT

~~ "C <A< 1FT '"

-t,~.~ \1~DNote:

,By : It\.~-iI.. IT~ ,~( I, i lp. ,I '6I7JjJ IJM2 -

Please attach the fonowing if applicable upon delivery , '1111 t-".d " I

t.®(NO aIt~hmellt NO uceptlJ!fU of tkliveryi ' , l --1. Certificate ofProouct Registration from FDA , \2, Certiticatt of Good MaJiufacturing praetice from FDA3. BatOh Release Certificate trom FDA ' '

TOTAL 1l~100.00

("rood Amount in Words) Ek\teo thousand one bu~iIred pesos only - ...:~..

In case ofmilure to make the full delivery within the time ~cified above, a penalty ()fone-tenth (lItO) of one (1) percent for every dayof delay shall be imposed on the undelivered item/so

,Very truly yours,

~/I

,

.. ~"'''., jv::.",moRAMONCITO c,MAGNAl'E,MD,F'PCS9MBA

Medical Center ChiefIJConforme:

ISignature overfrinted name of Supplier

"

I Date: ~lJOll~ III ~a2Q2IIFund Cluster: (Jl ORSIBURSNo.: o;J-~"I1j. ~/-IiMtJ)~'f[Funds- Available: 11,/00 .~rV' ' Date of the ORS/BURS: nFr ~ 1 7n'1I Amount: IlJ.tf9"tOOI

.CA~,aA

Wi 1. U' f ~ "q'

aco ", . ' , IV ~1J/~. .c.r, " .. P(!gf!. J/1

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,..noR GovCl'l:linent AccOuntirig Manual

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PURCHASE ORDERBATANGAS MEDICAL CENTER.

Supplier: SHOOTING STAR TRADING P.o. No. 21-12-0434 ~

Address: #1 Douglas Fir St., Greenwoods, Pallocan East, Date: December 31,2021

Batangas Ci~TIN: 188-243-279-000 Mode of Procurement: Repeat Order

Gentlemen:Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery: Batangas Medical Center Delivery Term: NO P,O., NO Acceptance

Date of Delivery: As Need Arises Payment Term: 30 days u20n complete delivery

Stock!Property Unit Description Quantity Unit Cost Amount

No.

BREATHING CIRCUIT, 3L, AVAILABLE INLATEX AND NON-LATEX VERSION,PARALLEL,S~L,B~CATED,~

PCS. INSPIRATORY & EXPIRATORY FILTERS, 75 616.00 46,200.00EXPANDABLE 24" & 108", 40S/CASE.INSPIRED MEDICAL. VINCENT MEDICALMFG. CO. LTD., HONGKONG

,=- _ .... ,,_ 1-------._I Bat ngas Meciic' I CsPtl~r·i COl\! ISSIOf\J GI J 1-\L)OITi

Note:I 'f tECE;V t.oPlease attach the following if applicable upon delivery <.no.

I f3V :~,

(NO atta(ihment NO acceptance of delivery)

=--=_pJ!iJJ....,

1. Certificateof ProductRegistration from FDA fl. 'I ~t~ . !3~17• 'j 1111 c-\ r--!!!!£ I2. Certificate of GoodManufacturingpractice fromFDA L. ---.-

3. Batch Release CertificatefromFDAt _.J

TOTAL 46,200.00

(Total Amount in Words) Fott» six thousand two hundred pesos only.In case of failure to make the full delivery within the time specified above, a penalty of one-tenth (1/10) of one (1) percent for

every day of delay shall be imposed on the undelivered item/sof;1---(Very truly yours,

-

B~R~E

RAMONCITO C. MAGNA YE,MD,FPCS,MBAMedical Center Chief n

2021.

Conforme: 3 1 DECSignature over printed name of Supplier

Date January 6, 2022

Fund Cluster: OJ ORS/BURS No.: tJ2../e'Y-OU-12- OO~.2pFoods Available: WJ~200·ro DateoftheORSIBURS:: 1-<' .3t[.q

~~lb II"Cl iE~ 46,206.00

in',r::J r>. ""'"1 f'"' ..... ~~,r. ... ,,/, ," .) .,I 'I iI' < •CAST] I"lIi'r'iPiri nilll7[O I,'. ii"~ ; iC'A

1 I'.:. JAll C = d~~l1. "L~.......~-- -"1 ~ (, . ~

.~~! ",r-~ , • T"l1 ! U ,nL r- , ""(\'11, ~! ~ - - - - c-.r!Yb...rJ..~,;;:;, \ '('/')1 LC'.., U J.. iJ,L IHn....r-,·, •._,"- --r':f1AJ ~ . LV'-

U DOH Government Accounting ManualJ tJ L_.J I,_:_. Jf .' ,. : t_r '. _": _.

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D tel eee.mber J1.20-2 I

Small aluode (l.f Procurement: Pro urement

. I'

I ~'>Iace r Delivery:: t)me (11' Deliverv:

l. ..

. ..'

e •f .".

Q~lanlily Unit Cost iDescr prionunil Amquflt

280.000.0014.000 20.00Vl I..

1 ole:

f ~........._._, Batanq s iVlOr:;;C81 C.",,;,;---;

·1 ("'0;\;·1·..·,,,,·.· ~'~"'.J ..... "I.,~·, ;'...J1\1 O.\) !.J..UDIT ;'

I /1 'I'E~ .r) ; ,.~

'j !ill':': r---~~.l>__._ 1P!·ea»(' anacn lh~ thUo'Wing if'tlppli abh.· upt'ln'oeU¥e·

(NO anaclrment , 0 acceptunce of delivery)

1. Certificate 0 Product Regi trarion Irorn fDA

2. Certil1cat 01"00001.1 lanl)JlIcturil1S practice from FD

of one-terab 1/ I O} of one (1 ) pel'c~n' 1'01'

[,MD ,FiFeS, '1Mhief Il

3 1 OEC ltl2

. Fund Cluster;I: -;,1 ,

'.:i Funds Av Hable::<101 I

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.. page 1/1ec()wnlng Manual

' ...r'.,,' ~. 'PURCHASE ORDERBATANGAS MEDICAL CENTER

Supplier:Address:

TIN:

NPK MEDICAL TRADING, INC, P.O. No.Unit 301~302 lIP Element 532 Quezon Avenue Date:Brgy, Tatalon, Quezon City

21-12-043231 December, 2021

()()4...S23-988-OOO Mode of Procurement: NP-TFB 2021--_..;..--- ....Gentlemen:

PJease furnish this Office the following articles subject to the terms. and conditions contained herein:Place ofDeJivery: Batang,as Medi~.center Delivery Term: NO P.O., NO A ceDate· of Delivery: 60 calendar days'upon receipt of P.O. Payment Tenn: 30 days upon complete delivery

i(Total Amount in Words) •~!'OtlW"~nfk"wEight Hllndnd Eighty-eigbt tholLVtmd Eight Hllndred Eighty-eigbt Pesos onlyIn case of failure to make til ~ _ •~ Within the time specified above, a penalty of one-tenth (1/10) of one (1) percent for

J Very truly yours, kRAMONCITO C. MAGNAYE,Mj),~MHAJ' Dfe 2.OZi

Stock!Property

No.J

1" . .__ -_. __. _.... . .,

I B. t2ng3s ~~"'<r:,.:C~r~!;:.r j'.~ r:O \;!,.- -v , -\ I ( 'I XI v'.. v : ! '::....J i(..J '-. J I '/'-\ U0 IT;

f RE~eaY~DBv : ..~ fie .Gayi),J~e. ~ rr~M:zTune I ,,'dd

----¥'-f- ....1,:t..._I)'-f:'l'.o._l1_--~--~~~~ __ J

Unit Description

unit . 2D13D ULTRASOUND

Brand:SAMSUNG HM70 _e'VO

(SEE ATTACHED TECHNICAL SPECIFIATIONS)

Note:Please sttach the following if applicable, upon deiv8ry( tJ.Q attachment tIJ2 acceptance of dellvwy)

1. CertfffcBte of Product Reiilltr,tlon from FPA2. CertJfic8te 01 Good Manufacturing practice from FDA

3. BIltch ReIHM C6rlificste from FDA

Conforme: -D-i-o-n-is-i""':'O-R~. _U_g~a:-:te_s--:o:-J_r_.__g~ <>vra-'h"u~ry~~~~~'"

TOT A IJ 2,888,888.00

Quantity Unit Cost

1 2,888,888.00

Amount

2,888,888.00

-Food-ClUster: - 01 - ,Funds Avail~le: ~ RR){ , ~rt·m

CARMlN~o,CPA

ORSlBuRS No: <tCI®c' l~cm..Date of the ORSIBURS: I \Amount: 2.888, 88.00

acvJ~~JRoaJ

DOH Guvemment A.CCOtmttng ManualPage 10f1

._-------------_. __ .__._

........ ,.,-_..?"\ ,/"\

,-- .t~&CHASEORDER - """,,~,,

BATANGASMEDlCALCENTER~

UNITED H__A_RDW t\.J:lF. & GENER4.LSupplier: MERCHANDISE P.O. No. 21·12-0431

,

Address: 52-A D, Silan~ s-,Batan~as City . Date: December 29, 2021TIN: 0OO-29Q-177-000 Mode of Procurement: SVP

Gentlemen:Please fUrnish this Office the following articles subject to the terms and conditions contained herein; •

Place of Delivery: BatanSa8 Medica) Center..'

Delivery Term: NO P.O., NO Acce;etanceDate of Delivery: 30 calendar days upon receipt PO Payment Term: 3.0days upon complete delivery

StoeklProperty Volt Description Quan1ity IJoitCost Amount

NA.

VARIOUS REPAIR AND MAINTENANCESUPPLIES -

PCS NO MORE NAlLS 20 75.00 1,SOO.00PCS HOLLOW BLOCKS 4 100 15.00 1,500.00pes PLAIN SHEET G# 20 2 1,400.00 2~800.00pes SANDING SEALER 5 625.00 3,1.25.00pes SHOWER VAL VB CLOSET 10 550.00 5,500.00PCS CHECK VALVE 3/4 10 400.00 4~000.OOpcs PVC TEE 1-112 B 5 100.00 500.00pcs SANITARY ELBOW 6" 45 DEG 2 650,00 1,300.00pcs. OT REDUCER rx 114 5· 1(}.OO 350.00

i

SUBTOTAL 20,575.00

8 --- -Tow Amount inVloids rn~tangas M€1dicalCentNMC',,", ......

, In case of failure to make the full d~very witliin the time ~pec~~d above, a penalty 0 ~one-teFtfe:~~~~ J1Y UI Ipercent for everyday of delay shall be unpose-doatheundehvered item/s, Ie VED

By : ~. tho -1D. J =>Very truly yours, y<,/'l' ,e , Ol I to22

! .. IItle "Y r Jrj:nlI RAMONCITO C. MAGNA I 1!i,1\!lV,I'.a-

.:Ii.......I

tlittflai.'t,Medical Center ChieflJa 1 DfC 2021!

-Confcrme: C.~l)rnJE;~ A., J)f ~r{YOSignatureovt printed name of SupplierDate QI- K-~)..

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Fund Cluster: 0\ ORSIBURS No.: OJ·~rj_'1~~JI· JQ~P(jD'fIjFunds Available: DateoftbeORSlBURS: Ut.L; o 1 LUll

rut;lt;' I?fln_!]l?fii' J1:-) r rrf mount:l

/".;I \;' J ' "'~,/:Jd s : :AS . LO A,,'-- ...~..f>itGb! :t ~l . .' .f-'>' r n ~ :'6"; 'VI •

~'. ~~\. IV I "r.-I"; r r'''' "1 1 II t j .J..)_"" ~ ! 1.1(" I~l" Ii.- \. .~ pagel/]Iii .h...' J 1.1 II .n .. . ,

!PL--:-_= .•, ... ...:.'. " "

j .,.;..~ "I-.J\..:I :\..1 •..,..".......... DOH GI)'I'U"mefft A«OIlnting Mangalr

- ~ ~- 1:,~CHASE ORDER.-~- _-

BATANGAS MEDICAL CENTER,

UNITED llARDW ARE &: GENERALSupplier: MERCHANDISE P.O. No. 21-11~O431

Address: 52-A D. Silang St~Batan~asCity , Date: December 29,2021

TIN: 0OO-290~177-000 Mode of Procurement: SVP,

Gentlemen:~.

Please furnish this Office the following articles subject to the terms and conditions contained herein:_Place of Delivery: Batanla5 Medic:al Center Delivery Tenn: NO P.O., NO AcceetaOCeDate of Delivery: 30 calendar days upon receipt PO Payment Term: 30 days upon complete delivery

StotklProperty Unit Description Quantity Unit Cost Amount

Nil.

Balanced Forwarded 16,575.00,

PCS PPRPlPE 112 12 200,00 2,400.GOpes PPR :PlPE 314 12 350.00 4,200.00pes PPRPIPE 1 10 500,00 5,0'00.60'PeS PPR PIPE 1 112 10 1.200.00 12,000.00pes PPRPIPE2 15 2,000.00 30,,000.00

---. ..

l

f".::F9~1:, ..,.AI 175.001:1 ... +~.... ,., ...." • : .J L'..'" ~'

(Tob! Am,,,m+ in '\ll"rA,,\ <1.."...,...h, '1".,.. ... _ J...1._""Ift __ .J ___ 'L._ ..._J __ J ______~_._.L'!! __ - - ~£aJJ.ISSION Qi\) AUDIT\ ... ...,_ ......... ,..y~\."'a ",.va .......' .... c: ~.... ".rJV'" ,"u...,.,.,," "TIt: Tlu"ureu seventy .[lV(! P

In case of failure to make the full delivery within the time specified above, penaltR~S1:·n~..filIi) of one 1)percent for every (lay of delay Shan be imposed on the undelivered item/so By: 7,f;-.

[);-Ite . OaDu.l2D j~VerytruJyyours lllllG/\. /f):DI _ I

'''''''. ~ I/I =

I~'£RAMONCITO c.MAGNAYE,MD,FPCS,MBA

Medical Center Chief'Il S1 DEC 2.0l1Conforme: (j,1Zf,J. ~ • [)~ (;;It!. fTI1.V

Signature ov, 'printed name of SupplierDate . qj- 14'. »).-

"

Fund Cluster: 01 ORSIBURS No.: OD.-~m-£lJ~/- 11l·~~Foods Available: :j.l/ f 1~. 00 Date of the ORSIBURS: nJ:'f" ~ 1 ?n?1

~\Amount: -- 74,} 15.00

CARMINA ~.CPA acoA I ' I '1p1}2JJ aJ. .c:~- po_ge 212

DOH GOl"f!1'IImen1Accounting Manual

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II

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,I

1:-'

TINs

. GontlemJll:Pl(l8Se 1Umish this O:f6co the follow'

PlaceofDe1ivery;BI_p' Medleal CenterDiIW otDelivory; OQ oalendar day. upon m*pt: otP.O.

Prop;rly Unit D~riptionNo.

t- ._

QwmUty UnitCoIlt Amount

1 unitt BANJ).BELD FETAL DOPPLER 5 19,900.00

(SEE ATfACHED TECHNICAL SPEClFJATIONS)

PIfI••• tIItlK;II 1M ftIIIoWfng If ~ upon dI/IIvety. (1iJl.'.ttBI1mfnttIR.- • .",.,.o1'deIIrrtty)

1. CMtIfic4t. 01Product ~ from FDAz. ~. mGO{IIi M.nllfllfitlJlinfl ~ frrHrI FDAa, Utili ROlHM 0fttIfkIIJf fTrNrI FDA

;/ (---.---.~..-,

/ r>.----~------------- ---P-UR--C-HA--S-E-O--RD--E-R--- lfA-tAlS-GA$·MEDlCA-L-CE'N:tEI't~----------~--------~~~~~~~~--~~~~--------------------~Supplier: TECHNOMED INTERNATIONAL, INC.Address: 41F MEDECOR Bldg., Ortigas Ave., Greenhills

TIN:

-_______\

P.O. No. 21-12-0430Date: 29 December, 2021

Mode of Procurement: NPEC 2021

Unit Description Quantity Unit Cost

units HAND-HELD FETAL DOPPLER

.Brand:HDAN


-~----------------------------------------------------------------------------------~-Gentlemen:Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery: Batangas Medical Center Delivery Term: NO P.O., NO AcceptanceDate of Delivery: 60 calendar days upon receipt of P.O. Payment Term: 30 days upon complete delivery

-Stock!

PropertyNo.1

-

Amount

Note:

Please attach the following if applicable, upon delivery

- (-NO-attachment-NO-acceptance-ofdelivery)

1. Certificate of Product Registration from FDA

2. Certificate of Good Manufacturing practice from FDA

3. Batch Release Certificate from FDA

5 19,900.00 99,500.00

(Total Amount in Words) INinety-nine thousandfive hundred pesos onlyIn case offailure to make the full delivery within the time specified above, a penalty of one-tenth (1110) of one (1) percent for

Very truly yours,~ONel'-c. MA:£NA.YE MrrFPCS MHA,r f,' I , ",.

J' _'....::J ...... 1..1 31 DEC 2021Conforme: 'rr ')

-S~ig-n-a-tu-re-ov-e-r-p-ri~n-te-:d-n-am-e-o-::f-::S~u-pp-:l::-ie-r---'-~;/. ~ '. c . tJ.Date . ( . .J ~ :.S~-f Y\ F Q - l'i M

DOH Government Accounting ManualPage 10f1

Republic -of thePhilippines Department of

Health

TECH-N·lC-Al S-P-EClFlCATJONS

- PROCURING BIDDERJS OFFERENTITY

IUOU.:R'SSpecification as Specification as Technical Offer STAl'EMENTOFTecbnical Offer COMPUANCE

ITEMS: HANDHELD FETAL TEM 5: HAND HELD FETAL DOPPLER· DOPPL.ER·QUANlfrf:·S:UNt't ~VANTtTY.: 5- UNIT

·Comp~y. UNIT COST: "PAP "20,-000:00UNIT COST: PHP 20,000.00 rrOTAL ABC: PHP 100,000.00TOTAL ABC: PHP100,000.00TECHNICAL DESCRIPTION: TECHNICAL DESCRIPTION:

A hand-held ultrasound transducer used to detect the - With excellent sensitivity, complete Complyfetal heartbeat. It uses the Doppler effectto provide an nterchangeability and high durability, SD3 seriiesaudible simulation of the heart beat. Ultrasonic Pocket Dopplers are ideal for routine

fetal heart rate detection by cliniciansPhysical Specifications:

Physical Specifications:_Main Unit Weight: not more than 3509 (including the· battery) . Main Unit Weight: 3:50g-(including:battery)- Comply

Obstetrical Probe: at least 39mmx140mm pbstetrical probe Size: 39 x 140 mm Comply

Probe Weight: not more than 100gProbe weight: 100g Comply

Cable length: at least 2mCable Length: 2 m Comply

Dispiay: at ieast 0.96 ineh OLEO Ooubie COIOi SCieenpisplay: 0.96-inch OLEO Double Color Screen Comply

UTILITY .REQUIREMENT: - UTIt.tT¥ .REQUtREMEN:T:

Audio Sampling Frequency: at least 4 kHz lAudio Sampling Frequency: 4 kHz ComplyRecording Length at least 240 seconds Power supply Recording length: 240 sec ComplyNominal Capacity: at least 2600mAh 1N0minai Capacity: 2600 mAh ComplyNominal Voltage: upto 3.7V !Nominal Voltage: 3.7V Comply

Normal working time: at least 16 hours lNormal Working Time: 16 hours Comply

· Charge time:· not- more than- 6 hour-s -'Charging time:-6 hOUfS Comply

ACCESSORIES, CONSUMABLES, SPARE PARTS, OTHER IACCESSORIES, CONSUMABLES, SPARECOMPONENT PARTS, OTHER COMPONENT

Coupling Gel: iultrasonic gel:pH: :>.5 ~ 0.0 . (PH: 5.5 - 8.0 Comply

· -Aeeust-ic·lmpedanee: -1.5-x-1Q6P-a.-sJm- -1.-7-x-106Pa.sim -IAcoustiC Impedance: f.5xfOPa.s/m- COmPlY(350C/950F) 1.7x106Pa.s/m (35°C/95°F)

/'"

NEGOTIATED PROCUREMENT· EMERGENCY CASEVARIOUS COVID19 RESPONSE MEDICAL EQUIPMENT

OCTOBER 20,2021

PROCURING-ENlI-T-Y

Specification asTechnical Offer

Relative Humidity: Relative Humidity -Working 25% - 80% (non-condensing) ~orking: 25% - 80% (non-condensing)

: Transport and'Stcm1ge 25% - 93-%_(non-condenSif1Q)_lTransport..and Storage: 25% - 93 (non-cendensinq)'.

UTILITY REQUIREMENT:

. J.e.mp,r.alw~·. Working +50"C- +400"C (+4·1or - + f04or)

Transport and Storage -20oC- +550C (-40F=-+1310F)

Atmospheric Pressure:Working 86kPa -106kPaTransport and Storage 70kPa - 106kPa

BIDDER'S OFFER

Specification as Technical OfferBIDDER'S

STATEMENT OFCOMPLIANCE

·Comp1yComply

ComplyC.omply.

ComplyComply

DELIVERY

30-60 calendar days ftom date Of awarding ofcontract

Before delivery, supplier must call the MaterialsManagement Section for delivery coordination to

. avoid non-acceptance or delay in acceptance.


T e.mperatu(e'. Working: +5·C- +40·C (+4 f"F - + 104"F)ITransport and Storage: -20·C- +55°Ci'-4°F- +131°F}

iAtmospheric Pressure -~orking: 86 kPa - 106 kPa[Iransport and Storage: 70 kPa - 106 kPa

DFLIVERY

130-60 calendar days from date of awarding of!contract

Before delivery, must caU the Materials ManagementSection for delivery coordination to avoid non-acceptance or delay in acceptance .

Comply

Comply

TRAINING. INSTALLATION & UTILIZATION TRAINING. INSTALLATION & UTiLIZATION

- OTHER TERMS AND REFERENCES OTHER TERMS AND REFERENCES• training of end-users in operation and Technical Training of end-users in operation and Technical

training to EFM Staff shall be provided by training to EFM Staff will be provided by supplier_..supplier_ (With CertificatesY - - (WIth {;ertlficates}

-Supplierto perform installation, calibration, safety, . To pe~orm installation, calibration. safety, andand operation checks before handover pper~tlo~ checks ~e~ore h8:n~over ._ Application and clinical training for staff provided by Application and chmcal training for staff prOVided by

supplier ~upPI~e~.., ._ Provision of userl technical! maintenance Prevision o~ userl technical! maintenance provldedprovided by the supplier ~y the supplier

Comply

Comply

Comply

Comply

WARRANTY

1. Warranty: Warranty certificate for two (2) yearson parts and on services. The supplier shalleither repair or replace any item or part in theequipment that isJol:Jod to be defecfute inmaterial or in workmanship under normal use.The warranty period shall commence the date ofacceptance by the end-user after testing andcommissioning. ·PreventiveMaintenance/Calibration schedule Within mewarranty period.

- 2. -Supplier-shall-condtlct-the-necessary-eorr~ctivemaintenance within five (5) calendar days uponnotification of equipment breakdown from theend- user. The undertaking shall include astatement that the number of days where theequipment is unusable due to defective materialor-workJl'tcln5hi,:!: sha-lIl:le"adcled·to--the warn:antyperiod.

1. Warranty: Warranty certificate for two (2) years onparts and on services, We can either repair oreplace any item or part in the equipment that is

found to be defective in material or in workmanship.:under· normal· use. -Ttle-warranty· period ..willcommence the date of acceptance by the end-useraft~r testing and ~om~issioning ..... ".;..:":'ftIv,,~1II'I'I~1m!I~}lf/"'~u--r-'\+,r.-~-i",-:-"'-i ;-,..-.•-,,-~.-}-: .,..,Maintenance/Calibration schedul~ wlthlfl~\" R~,T ,-, ,;, J. . I

twarranty period. C~djfi,;>d lJ~I" _.;- ,,-;\.

-iQ.--we-will-eonduct-ttle-neeessary-c Ie~etive _ .1.GampIY_1-rnaintenance within five (5) calend~r days upon / \7rotification of equipment breakdo .... u 'c CIIU~ /

user. The undertaking will include a statement thatvhe number of days where the equipment is

unusable due to defective material or workmanship,will be added to the warranty period. . /-

~.4.~

WARRANTY

Comply

-?RSCURfNG -BI99ER'S-SFFERENTITY

Specification asBIDDER'S

Specification as Technical Offer STATEMENT OFTechnical Offer COMPLIANCE

QOCUMENTATION lnn""IIut=~T loTION. -.user, technical, and maintenance manuals to be User, technical, and maintenance manuals-to be Comply·

supplied in English language ~upplled In English language•Certificate of Calibration I Calibration Report and Certificate of Calibration I Calibration Report and Complyinspection to be provided by supplier _/ nspection to be provided

~_4--".., __

. p .~~)~.;1I:ILOU-:Y ·1. ·VIL '. , _t*C'-'BRVJSOIt,l_ ~

Name and Signature of Authorized Representative

,(Sgd.).-EDtABI!'fR Yi?ALJNES ..MD, FPNA,FPPB.F15NSPilAc Vice Chairman

~-...~c S1..:>o·~r:.: ~

l ?_. ~ ~ '"1.!~13 ~~~~ 6~ ~~i~ ~j '".,~~!1; f~ , ..~~~ '"~j-g" ... !5

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~ PURCHASE ORDER'~ IBATANGAS MEDICAL CENTEr ' I;\~,

Supplier: NPK MEDICAL TRADING, INC. P.O. No. 21-12-0429 ~.~Address: Unit 301-302 3/F Element 532 Quezon Avenue, Date: December 29, 2021

y~~

Brgy. Tatalon, Quezon City iTIN: 004-523-988-000 Mode of Procurement: NP- EC I

IGentlemen: .,

Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery: Batangas Medical Center Delivery Term: NO P.O., NO Acceptance i~

60 calendar days upon receipt of a<~Date of Delivery: P.O. Payment Term: 30 days upon complete delivery . ~

I

Stock/~~

Property Unit Descri ption Quantity Unit Cost Amount I,+No. il

FET AL AND MATERNAL TOCOMONITOR iUNIT -Huntleigh, Fetal Monitor, Team 3A Twin I 498,000.00 498,000.00 I~

Antepartum (UK) ~,I- .1- I• ,.J---'-'__ jBatangas 116'r:J;cal CentC'f - 1

PLEASE SEE ATTACHED FOR SPECIFICATION CON/ISSIC N ON AUDIT iREC ~ED

~- 1

~ l ~

Qv . /' - II

--.,..,. - 'Ii~(~ llL 'lxt12J)2ZJ-

I I" 1(':" I~ :d:k -

Note: --. I I..'.

J-(NO attachment NO acceptance of delivery) - .~

I. Certificate of Product Registration from FDA - "

2. Certificate of Good Manufacturing practice from FDA - - ,3. Batch Release Certificate from FDA -

TOTAL 498,000.00"

(Total Amount in Words) Four hundred ninety-eight thousand pesos only "if,'1~i

(\/ ~Very truly yours,

.11

iRAMONCITO C. MAGNA YE,MD,FPCS,MHA ,

I

~~)

Medical Center Chief II I.

r--t)'61.t ~~A j(r- 3 1 DEC-2021 '1Conforrne: .1

Signature over Pf1n~eVofsuPPlier lDate I 4- ..-I

1

Fund Cluster: OJ ORS/BURS No.: tfJ- IQIIQI- rW~I-I~'rtffkJ: ~1Funds Available: ltIg t ceo . ()D Date of the ORS/BURS: 'nr-r ~.~i " ·1 . ~ ,I

CAR~INA C~'CPA

Amount: ,. 498~000.OO ' !~

-cleo ;,!

Acco ntant IV{~~/~;;Jj ~

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"'-- ~ .""$'t; r~() DOH Government Accounting Manual l~r:,~I\~i'f'l.~f~~}9 ~. ~~ I 'p~~yt1~A~If 0- .

FETAL AND MATERNALTOCOMONITOR

ABC :PHP 500,000.00 I NPK MEDICAL TRADING

Duly Accomplished and Signed Bid Form TOTAL COSTPHP 498, 000. 00

1 UNITHUNTLEIGH, FETAL MONITOR, TEAM

ELIGIBILITY DOCUMENTS 3A TWIN ANTEPARTUM (UK)Platinum MembershiQ_

PhilGEPS Registration200106711307736788Valid Until Ma~ 05, 2022TCC No. :07A-039-05-22-R0668-2020

Tax Clearance CertificateIssued Date: May 22,2020

Valid Until: May 22,2021

DTI/SEC CertificateCertificate No. AS096004112

Registration Date: April 18, 1996

Place of Issue :Quezon City

Mayor"s PermitExpiration Date: December 31,2021

Permit NO.97105571

NFCC P5,967,095,395.00

Joint Venture Agreement if applicable None

Omnibus Sworn Statement Comply

Delivery (30-60 days) Comply

PROCURING ENTITY BIDDER'S OFFER

BIDDER'SSpecification as Technical Offer Specification as Tehnka1 Offer STATEMENTOF

COMPLIANCE

ITEM 6: Fetal and Mat'ernal Tocomonltor HunUeigh, Fetal Monitor, Team 3A -CornplvQUANTITY: 1 UNIT Twin Antepartum (UK)UNIT COST: PHP 500,000.00T"ECHNICAl DESCRIPTION:Provide solutions for all areas of fetal monitoring, - will Provide solutions for all areas of fetal -Complvranging from antepartum, intrapartum, and postpartum monitoring, ranging from antepartum,clinical applications. intrapartum, and postpartum clinical

~nnHr~t'nn~DISPLAYTechnology: Full Colour TFT Liquid Crystal Display Full Colour TFT Liquid Crystal Display -ComplySize: at least8" diagonal 4:3 aspect ration 8.4" diagonal 4:3 aspect ration -CornplvResolution: SVGA, 800 x 600 SVGA, 800 x 600 -CornplvViewing Angle: B-etter than 170· Viewing Angle: 170· -Comply

FETALPARAMETERS.:ULTRASOUNDRange: 30 to 240 bpm Range: 30 to 240 bpm -ComplyAccuracy ± 1 bprn over the range 100-180 bpm Accuracy: ± 1 bpm over the range 180 bprn -·Comply

± 2 bpm outside range ± 2 bpm outside range -ComplyAlarms: High and Low FHR: 30 to 240 bpm High and Low FHR: 30 to 240 bpm -Cornplv

Signal loss: % loss in last 5 minutes % loss in last 5 minutes -ComplyMode: Directional pulsed doppler Directional pulsed doppler -Cornplv

Repetition rate: 3.0kHz 3.0kHz -CornplvDrsolav: FHRvalues FHRvalues

Pulse indicator Pulse indicator '.complyConfidence indicator Confidence indicator -ComplyUne graph Linegrap_h -Cornptv

Print: line graph Line graph -CornplvRepetition rate:upto 2.9-94 kHz 2.994 kHz -CornplvFrequency: upto1.0 MHz 1.0 MHz (green) -ComplyPressure: <30kPa <30kPa -Cornplvlob: <lmW/cm2 <lmW/cm2 -CompivIspta: <3mW/cm2 <3mW/cm2 -CompiyR.esolution: upto12 bit.s 12 bits -ComplySafety: Type CFprotection Type CF protection -ComplyIngress Protection; IPX7 rating IPX7 rating -CornplvStandards: IEC60601-2-37: 2007 EC60601-2-37: 2007 -ComplyEXTERNAt UTERINE ACTIVITY (TOCO)Range: 0-100 relative units 0-100 relative units -Comply

r

Sensitivity: upto80% (±.5%) scale reading equivalent to

lODgUpto 100% FSD equivalent to 125gOffset range: ±100gBaseline: Manual and auto zero facility to 0, 10 or 20%

Display: TOCO valuesLine graphPrint: Line graphSafety: Type CF protectionlngress Protection: IPX7ALARMS & A.LERTS

Audible and visual notification is provided for all fetal

alarms.Alarms limits are all user adjustable

High heart rateLow heart rateSignal loss

Dual rate detectionFETAL MOVEMENTRecorded with either the maternally sensed marker, or

automatically using Actogram.This records the featllimb and trunk movements by

detecting lowfrequency Doppler signalsthrough the 1.0MHz ultrasound transducer

FETAL PARAMETERS:ULTRASOUND

Range: 30 to 240 bpmAccuracy: ± 1bpm over the range 100·-180 bpm± 2 born outside range

AJarms: High and Low FHR: 30 to 240 bpmSignal loss: % loss in last 5 minutesMode: Directional pulsed dopplerRepetition rate: 3.0kHz

Display: FHR valuesPulse indicatorConfidence indicator

Line graphPrint: line graphRepetition rate:upto 2.9-94 kHz

Frequency:upto 1.0 MHzPressure: <30kPalob: <lmW/cm2

Is-pta: <3mW/cm2Resolution: upto12 bitsSafety: Type Cf protectionIngress Protection: IPX7 ratingStandards: IEC60601·2-37: 2007

80% (±S%) scale reading equivalent to 100g -Comply

100% FSD equivalent to 125g -Cornplv±100g -CornplvManual and auto zero fadlityto 0,10 or -Comply

20%Display: TOCO values -CornplvLine graph -CornplvLine graph -CornplvType Cf protection -ComplyIPX7 -Comply

Audible and visual notification is provided -Complvfor all fetal alarms.Alarms limits are all user adjustable -ComplyHigh heart rate -ComplyLow heart rate -CornplvSignal loss -CornplvDual rate detection -Cornplv

Recorded with either the maternally -Comply

sensed marker. Of

automatically USing Actogram. -ComplyThis records the featllimb and trunk -Cornplv

movements bv detecting low -frequency Doppler signals -Complythrough the l.OM Hz ultrasound transducer -Cornplv

30 to 240 bprn± 1 bpm over the range 100-180 born± 2 bpm outside range

High and Low FHR: 30 to 240 born% loss in last 5 minutesDirectional pulsed doppler3.0kHz

FHR valuesPulse indicatorConfidence indicator

Line graph

-Cornplv-Comply-Comply

-Comply-Comply-Cornplv-Cornplv

-Cornplv-Comply-Comply

-Comply-Comply'-Comply

-Comply-Comply'-Comply

-Cornptv'-Comp,ly-cornptv

-Comply-Comply

-Comply-Comply

-J-Cornplv-Cornolv

SCALE.S& GRI DS

Print: Line graphRepetition rate:upto 2.994 kHz

Frequency:upto 1.0 MHzPressure: <30kPalob: <lmW/cm2

lspta: <3mW/cm2Resolution: uptol2 bitsSafet:y: Tvpoe cr: protectloM

Ingress Protection: IPX7 ratingStandards: IEC60601-2-37: 2007

FHR: 30 - 240 bprnSO - 210 bpmTOCO: 0 - 100%0- 13.3 kPa

FHR: 30 - 240 bprnr;:! . ;---- -...~-- SO - 2.1.0 bpm, ."~(U,1}·',,,,~:''1''".,.,~ m~_ 100%I .• ' •. " .J1'!;t, 11 JrJ'· .

i .:',_.'.'e, -, 0 - 13. kPa

PHYSICAL DESCRIPTION~Monitor '-ComplyDimensions and Weight Height: 23.4 em (9.2 in), Width: 32.0 em -Comply

(12.6 in), Length: 23.0 em (9.0 in),8· 12 inches monitor 8.4" -Comply5.3 kg to 6.1 kg Weight: 6 kg (13.2 lbs) -CornplvEQUIPMENT ClASs:lFlCATlONTY'Peof Protection against electric shock: Class 1 Type of Protection against electric shock: -Comply

Class 1Mode of operation: Continuous Mode of operation: Continuous '-ComplyDegree of protection against harmful ingress of Degree of protection against harmful -Complyparticles/or water: IP30 inzress of particles/or water: W~ODegree of safety of application in the presence of a Degree of safety of application in the -Cornplvflammable presence of a flammableanaesthetic: Equipmet not suitable for use in tile anaesthetic: Equipmet not suitable for use -Cornplvor esence of a in the presence of aflarnablennaesthetic mixture with air, oxygen or nitrous fl.amableAnaesthetic mixture wlth air, -Cornplvnxidp Inxvpplf1 or nltrm« oxideUTILITY REQUIREMENT:POWERSupply Voltage: 100-240V auto sensing 100-240V auto sensing -CornplvPower Input: 50-60Hz 50-60Hz -ComplvConsumption: 8 - 133VA 8 - 133VA -ComplyBATIERYCapacitv: 4400mAh or more 44()()mAh -·ComplyUse: Up to 4 hours depending on operating mode Use: 4 hours -·ComplyCharzmg: at least 4 hours Charging: 4 hours -CornplvACCESSORIE.S,CONSUMABLES, S·PAREPARTS, OTHERCOMPONENTACCESSORIESa) Ultrasound (US) Transducers a) Ultrasound (US) Transducers -·Comply

-with sensor, cable and conne-ctor -with sensor, cable and connector '-Comply-for singleton and multifetal pregnancies -Ior singleton and multifetal -Comply

pregnanciesb) TOCO Transducers b) TaCO Transducers -Cornplv

-with sensor, cable and connector -with sensor, cable and connector '·Complyc) Belt c) Belt -Complvd) Remote Event Marker d) Remote Event Marker -CornplvPrinter Printer -CornplvPrint head: at least 128mm thick film 128mm thick film -CornplvResolution: 8 dots per mm (standard) 8 dots per mm -CornplvPrinter speeds: 1,2, Of 3cm per minute 1,2, or 3cm per minute (user selectable) -Comply(user selectable) (user selectable) -ComplvFast forward: 10 em/minute Fast forward: 10 em/minute -CornplvFHR scales: 30-240 bprn or 50-210 bprn FHRscales: 30·240 bprn or 50-210 bpm -Cornplv(user selectable] (user selectable) -CornplvAnnotation: Hospital name, time, date, paper speed, Hospital name, time, date, paper speed, -Cornplvmonitoring modes, signal loss monitoring modes, signal loss -CornplvHigh speed: Review and print catch-up at up to 20 High speed: Review and print catch-up at -Complyem/minute up to 20 em/minutePaper: Paper: -ComplyThermal paper, z-roro Thermal paper, z-rorc -cornptv45m lenzth 175 hours (ciJ 1 em/minute) 45m lenath /75 hours @J 1 em/minute) -CornnlvStandart Cart:Height: at least 94 em Height: 94 cm -CornplvMaterial: Painted Metal Cart Material: Painted Metal Cart -Cornplv

,!!

'"I

1

I-I

l

..I

Load Capacity: atleast lOkg or more Load Capacity: 15 kg -·ComplyLockable caster wheel Lockable caster wheel -ComplvENVIRONMENTAL REQUIREMENTOperatingTemperature range: +10·C to 4O·C + lODC to +40· C -ComplyRelative Humidity: 10% to 9D% (non condensing) 90% (non condensing) -CornplvPressure: 860mb to 1060mb Pressure:1060mb -ComplyStorageTemperature range: -10·( to +40·C -10·C to +40·C -CornplvRelative Humidity: 93% maximum 93% -ComplyPressure: 860mb to 1060mb 1060mb -ComplyDELIVERY30-60 calendar days from date of awarding of contract 30-60 calendar davs from date of awarding -Comply

of contractBefore detlverv, supplier must call the Materlal~ Before delivery. supplier must call the -CornplvManagement Materials Mana,gementSection for delivery coordination to avoid non- Section for delivery coordination to avoid -Comply

acceptance or delay non-acceptance or delayin acceptance, In acceptance. -CornplvTRAINING. INSTALLATION s UTILIZATION1. Completion period: The delivery, installation, testing That the delivery, installation, testing and -Comply

and commissioning of the equipment and its commissioning of the equipment and its

accessories, including the training of end-users and accessories, including the training of end-maintenance staff must be completed within 15 users and maintenance staff must be

calendar days upon dellverv. completed within 15 calendar days upon

2. Testing: Prior to acceptance, the end user shall That inTesting: Prior to acceptance, the end -Comply

conduct a physical inspection and functionality test. The user shall conduct a phvslcal inspection andequipment must be functioning and must have no functionality test, The equipment must bephysical damage and defect. functioning and must have no physical

damage and defect.

3, Training: The supplier shall provide a training on the That Training: The supplier shall provide a -Complyproper use and maintenance of the equipment to the training 011 the proper use andend-users and to the hospital maintenance staff. maintenance of the equipment to the end-

users and to the hospital maintenance staff.

WARRANTY1. Warranty: Warranty certificate for two (2) years on That we guarantee Warranty: Warranty -Complyparts and on services, The supplier shall either repair or certificate fOI" two (2) years on parts and onreplace any item or part in the equipment that is found services. The supplier shall either repair orto be defective in material or in workmanship under replace any item Of part in the equipmentnormal use. The warranty period shall commence the that is found to be defective in material ordate of acceptance by the end-user after testing and in workmanship under normal use, Thecornrrussiorung. "Preventtve warranty period shall commence the dateMaintenance/Calibration schedule within the warranty of acceptance by the end-user after testingperiod. and commissioning. • Preventive

M31ntanance/Callb""3!uon schedule within

the warranty period.

~.~. \

."../ PURCHASE ORDER...,BATANGASMEDICAL CENTER

hppllen 3YM TRADING '.0. No. 21·12-0428Md,.., 161 Art&oII Come.z Sift Nicola I Dices 29 December 2021Baor,Cavi&e

TINs 214-.261a9'SaOOO Mod.o'Pi'oea ...... t: PB NOV 2021

0tatJem.s:,,_ Alml." fill. om. eM {oflowmjllficf. tubjecc to the tennJ and condifionJ contained herein:

PI.,. ofDtLlwry. lltaae' MedJcalCal'" Delivery Term: NO P.O .• NODIll ofDtlMly. 60 callIIdIr dIvIue!! rail!!o(P.O. PI)'IMIll Term: 30 day, UPOn complete delivery

JIOdII

~Unit o.cription Quantity UnitCott Amount

I pel.•• _._ ••_' P.LJUjTICMMK

50 3.150.00 157$0.00v·,.,... (ltad • .,1& 0.'"1 pel

nmRMO PLASnC MASK8-Type ....... <_ ..... k 08"') SO 3,350.00 167$0.00.. 'nmRMO PLASnC MASK

J pel 8-T,pe ....... (...., ad .110."'" 100 6.900.00 690,000.00

4THUMO PLASnC MASKpa Hlp ad PatvIc 75 7,450.00 558.750.00

l pelJ I'I.IOAmOPLASnC MASK

125 5,350.00 668.750.00..... _15

BRAND:MElCE AND RENFU - -

31 r-: ;--1TECHNICAL SPECIFICATIONS: Sa anqas Me':!' ·c \.~en er I(I'/eQ61 .eauachtdJ COl w.::; ( ro i\j ( j\! ,L\UDIT I.Iv\. _;II _

~[~it1\ {If'D,.. :" _, l,

'''> • a ' ...... '"...I/IIMIII ",.,..", epp/IoIIIII, upon *Mt'f : _0 N( IJIQ ,."",.", IJIQ •• ".,.".111*"-YJ By1.c..r.t. t/l1'rot/MtJi ",."..., 110m FDA I I ..I:(~ , mItT) !Jp~t ~. fill tIOotJ IIMII/ItIIIIffn "... from (IDA '! 1111(; I

r--I{{)t'.a 1IIIIIh""'" c.MtIItI. 110m ~-- ,-_----- ---~--... -

TCtrAt 2' " ...., CM~OO'(Toe.! Amount in Wordl) 1"",,, m/lllo;, two ,,",,4Hdf(l1tY-two tllolllfl"d1lH III1IU1MIDeIIII (lIllY

In elM offlilur.1O mIkI die fUDdclivay wi1hin die lime spec:Uitd above,. pcnaltyof ono-tcn1h (1110) of onc(l) pncnt forVery truly your., rv

;Vlfl RAMONCJTO C. MAGNA~.FPCSD~iS1 . LuLl

Cont'omw. I=FREN S. f(1fERCAI)eRSiJnaWtt O\W print.td ume of SuppJi. C:. ,

DMe '¥ J-A-HU~" -:z.022 e ~fund ClIIM': ' ORSIBURB No.: ta-I QbQl?~~~'_A_ ;).2Q" mp,ofl) .JD; Ii'(;ilf?llir- l~ofd1tORSl8lJR1: CI

CP WflL ~.~~ I Wi 11,1"",: ...... : 2~21500.00CARMIN.&. lILLO' .~{D 1"11

1n)r7,";'.;?r1<"\.!1tCJ ~JV I j I~''f/~ ~;I ~Ia .:~c'2TiW, II!

L. ~ ,.,.;~~ DOH CJrnwmmml A''''UlllJllng MI:lIrUllJ- Pall' I ofJ

jtl C:;...:/~5_ rrt.:J~

RepuhUc."ofthe .PhillppmesDepartment of Health

TECHNICAL SPECIFICATIONSVARIOUS THERMOPLASTIC MASKS / IB2021-017A

GENERAL SPECIFICATION SUPPLIER'S STATEMENT OFCOMPLIANCE

-Bidders-shall'Subm"i"t"Nula ri zocd-cort ificate o(£""xcl ustseDistributorship between/ or Authority to Distribute from the COMPLYmanufacturer or principal Distributor

All winning bidders shall submit a certificate of commitment

to ",.UM:pry-deliver the products awarded to them. Pl\.OCURE:vi :--~"75~;C;'t;N r-' "L

r.-~.·Fn",,(~ rI1r~}'..v.:- 'flV\,~., f .1.," ..." ,i/,. ,

Indicate the brand and packing of items offered

The brand offered should be commercially available on themarket

for-at-least five (5) .y.ea-r-5,-CerH"fic-atien-to,besubmitted

Submit valid Certificate of Product Registration (If applicable)issued by the Food and Drug Administration (FDA).Submissionshould-be per product wrthla'bramill'U"itmnlll'mber.1\"copyofCertificate of Product Registration will be given to the BatMC'sMaterials Management Section.

"th-e-CPRpresented-during-the-delivery is-different-from-what- is-document ted at the MatMan Section, the delivery will not beaccepted

"Swapping/replacement of equivalent drugs/supplies will not"betolerated and will be considered as a violation.Swapping/replacement of items shall be grounds forblacklisting.REASON: The Technical Working Group has evaluatedthe- b1ctnrnduet. l"fthe;jtems·wUI"be-swapp.ed-wit-h-anotherequivalent brand, thus no proper conduct of evaluation wasmade for the swapped product, putting BatMC at risk

T-he--pFod-uc:t-s-to"oe,·o-ffcr:oo-must-no.t.b.e.e.n-SUlijected"forproductrecall/ withdrawal for the last three (3) years. Certificationmust besubmitted.

COMPLY

COMPLY

COMPLY

COMPLY

GENERAL SPECIFICATION SUPPLIER'S STATEMENTOF

- COM~RLIAN-CE-

It is understood that the Contractor is legallyresponsible to deliverall issued purchase order/s and failure to deliver thefitst-Pur:.-eh.ase.Qr:d,er.as scheduled shall mean automaticcancellation of tile P<Jand'Notice orAward'(NOI\): Ilponcancellation, the BACshall proceed to qualify the secondlowest COMPLYbidder if applicable: or proceed to NegotiatedProcurement. The Winning Contractor who failed to deliver

- -..sbaIfshoulder the price difference (from the second lowestbidder) of the item in addition to the acquired liquidateddamages.

-

3YMlRADING

NAME OF COMPANY

#261 Ara&on Compound San Nicolas I Bacoo[. Cayjte

ADDRESS

Efren S. Mercader

SIGNATURE OVER PRINTED NAME

09173166881

TELEPHONE / FAX NO

Republtc of'ln.e_PhlliJlpiilesDepartment of Health

TECHNICAL SPECIFICATIONS"AOIOUS ""HC'OlAnOI IISTI(,'A IISVC' J lorUl,}1 017Av n r r 1:.1\lylvr· ...I1. 11\.IYln n'>/ID""V",,"'-

_ ·JlURCI"IA-SER'S SPHCJFfCATION m-ODER'S·OfF-ER ,TECHNICAL !

SPECIFICATIONS STATEMENTiUNIT ABC (to include manufacturer's name OF

NO ARTICLES & DESCRIPTION QTV UNIT COST Php • brand, country of origin COMPLIANCeP-hp · &!Jacl(agincl" I

!THlmMO PI,ASTle MASI< 50 PCS 3,!:iOO.OO 175,000.00

1 U· Frame ( head mask only):> Shrinkage rate after >M'lnufacturc by > MEleE andmouldtng Z....hours Rcnfu (Gu;mgzhuu Rcnfu Medical)( 2-3%) »Country of Origin >Chlna 10 pes

. :>'Nt!l1 ~uck surfaccwlien. pertioxI

heated > Shrinkage rate after moulding 1

:> I,,(IWtemperature thermo 24 hours] 2-3%)plastic > Reuse Ume 3-4masks > Non stick surface when heated,. Odourless ( activated)

. :> Transparent when lieated .l :;.Low IcrripcraUjre- C 65 CelsiuS"> Hardening ume 2·3 thermo plastlcmasks COMPLYminutes > Odourlcss

!> Smooth texture > Transparent when healedI> Actlv.:lllot\ time] In water > Hardening time 2·2,5 minutes

bath) > Smooth textureIl.5· smln-s ~>-Activation·tlmc( In-water bath}

> Puh pin lock (or U & S type 2· 3 mlns Iframe > Push pin lock for U & S type I(head mask only) i1lld S lyre frame

Iframe (head mask only) and S type(head & shoulder] frame I>-2.+-3.2 mrn·mil$K-lhh.:lmcss · (head &.snouldcr) I> Compatible with cxll>lIng > -Z.4-3.mm mask thlckncss

IImmobilization device > Compatible with existingimrnoblllzatlon device

Tlil£IlMO PLASTIC MASK 50 pes 3.500.00 175,000.002 S • Type frame ( head mask

em Lv)SPP.CIPICATIONS: Manufilcturc by > M"E'fClranir I> Shrhlkagc rate after Rcnfu (Guangzhou Renfu Medical)

1moulding 24 hours >Country of Origin >Chlna ) 0 pes( 2·3%) per box> Non stick surface when > Shrinkage rate after moulding

. heated .24 hours]. 2-3%).> Low temperature thermo »Reusc time 3·"4 Iplastic ,. Non stick surface when healed Imasks (activated J I> OdClurlclIs > Low temperature C 65 Celsius

I,. Transparent when h ';lccd thermo plastlcmasks~ Ua.rdcnlnu time 2·3 > Odourless !minutes > Trilnsp .. rcnl ~"I,,'n ~H'''I",d . COMPLY> Smooth texture > Hardening lime 2-2.5 minutes> Activation tlme( In water ,. Smooth texturebath) > Activation limc( In water bath]1.S • 3 mlns 2· 3 mlos

I> Pull pln lod( for U & S type .- ..f'R.OC't R~¥E~T- r-r;-~'C)N· > Push pin Jock for U & S type

frame frame 1f;. " •. " _

I[head mafil, only) ilnd S type t '~\'.ilt:,V.. (head mask only) and S lyre·~:·Hi 'l; .h.Vframe 'b' -.... i frame(hoad & shoulder] I r., y" --

(head & shoulder),. 2.4-3.2 mm mask thlrkne If fVv

.__,. 2.4·3.mm mask thickness

> Cmn-patUllc with c.khalflU > Compatible with existingfrllln ihfff'l.ltit tlt·vll·t· irnmnhlll'l:lli(rrnh'vln'

PURCHASER'S SPECIFICATION

3

NO ARTICLES & DESCRIPTION

TIU!RMO PLASTIC MAS"S •Type tram, ( head and

Should",_. >-Shrinkage rste Ifrtm--moulding Z4 houri( 2·3%)> Non lUck surtaee whenheated> Low temperature thermoptantc-masks> Odourle,.,. Transparent when heated,. Hardening time 2·3

. mlnules">-5mooth1'#xture> Activation tlme( In waterbath)1.5·3 mIni> Puh pin lock tor U& S lypeframe

·'(bead-mas.Jt-only)-and-S-typo-frame(head & shoulder),. 2.4·3.2 mm mask thlckneu> CompaUble wIth exIsting

Immobilization device

QTY

PCI 7,000 700,000

ABCPhp

BIDDER'S OFFER

. STATEMENT- Of:-

COMPLIANCE

COMPLY

100

- UN1iUNIT COST

PhD

TECHNICAL. SPECIFICATIONS. (to fndude>m'all1lfattunr'snimre-, brand, country of origin&packaldnil

->.t.f,anufact-u,Fe-by ·>-M.£I·CE.aJULRen(u (Guangzhou Ren(u Medical)>Country orOngln ,.Chlna 10 pesper box,. Shrinkage rate after mouldIng24 hours( 2-3%)>- Reuse ume, :f..4.,. Non suck surface when heated( activated)> Low temperature C65 Celsiusthermo plastlcmasks"Odourles$

'-> rr.ans.parcnt wh.coJleatcd·> Hardening time 2-2.5 minutes,. Smooth texture> Activation rlme( In water bath)2· 3 mlns,. Push pln lock for U & S typefi:ame..(head mask only) and S typeframe(head & shoulder),. Z.4·3.mm mask thickness> Compatible wIth existing

-lmmatilllzatlo.n .,deyl ce

.. THERMO PLASTIC MASKJUI) and Pelvic

SPECIFICATIONS:,. Shrinkage rate altermouldlng.24 houn

..( 2"3%-)-> Non stick surface whenheated> Low temperature thermoplasticmasksyt)d'Ottrleu'> Transparent when heated,. HardenIng lime 2·3mlnutel> Smooth texture,. Actlvatlon tlme( In wilter .

-bath)-1.5 - 3 min,> Puh pin lock (or U " S typeframe(head mask only) and S type PtlO(rttRE¥Z ;":"I"i:.'-'!' N(rame . • .) .........~,~

-'(hvad"""shou-lder) . C~tt fir:rr'M;1.'l~i-F'J'lr..3':_""y> 2.4.3.2 mm mOjk thlcknci I> Compatible with exl5t1ng ~

Immobfllzallon device / IV

75 pes 7,500.00 562,500.00

I

Manufacture by > MEICE andRenfu (Guangzhou Renfu Medica')>Country of Origin >Chlna 10 pc,

-iler-box-> Shrinkage rate after moulding24 hours( 2-3%)> Reuse time 3·4-> Non stick surface when heated( activated)>,£o.w.temperat'ure C6S Celslus- .thermo plastlcmasks> Odourless> Transparent when heated> HardenIng time 2·2.5 minutes> Smooth texture

_> Activation t'lm~t Iilw.u-e,.-b-a'th,:) .2- 3mlns,. Push pin lock for U & S typeframe(head mask only) and S typeframe_(l1cad-&should~r.)',. 2.4-3.mm mask thickness,. Compatible with existing

lmmoblllzanon device

COMPLY

- PURCHASER'S SPECIFICATION BIDDER'S OFFER-

--TECHNICAL

, SPECIPICATIONS -STAl'-EMENT--- UNIT ABC '(to include manufacturer's name - OF

0 ARTICLES& DESCRIPTION QTY UNIT COST Php , brand, country of origin COMPLIANCEPhD &DackulnR)

• THERMO PLASTICMASK 125 PCI 5,500.00 681,500.00Brcillit Muk

~,.,Shrlnkage rate"'after . ~>Manufacture by>,MElGEandmoulding 24 houri Rcnfu (iuang1.hou. Renfu Medical)( 2-3%) >Country of On gin >Chlna 10 PCI> Non nick .urface when per boxheated > ShrInkage rate after mou'dlng,. Low temperature thermo 24 hours( 2-3%)

, plastic > Rell$c,tlme· 3-+ma5kJ > Non stick surface when heated"Odourle .. ( activated),. Transparent when heated > Low temperature C 65 Celsius,. Hardening time 2·3 thermo plasttcmasks COMPLYminutes > Odourless>- Smoot'" ·'''"lure - > transparent when-hDiltCd-,. Activation tlme( In water - -> Hardening time Z:-Z:S-mlnute.bath} > Smooth texture1.5 - 3 mini > Activation Ume( In water bath),. Pub pin lock for U & S type 2- 3 mIn!(rame ,. Push pin lock (or U " S type

':(head mlsk-only-)-and-S·cype , (r.amc"frame (head mask only) and"Slypc(head" .houlder) frame> 2.4-3.2 mm muk thlckncil (head & shoulder)) Compatible with c,,!!t!ng ;> Z.4-3,mm mask thlcknesl

Immobilization device > Compatible with existinHlmmobJllzat~().n-dc:vlce

-

3YMTRADING

NAME OF COMPANY

#261 AralQQ Compound San Nicolas I 8acoor. Cavlte

ADU'RESS-

ftVkErren 5, Mercader

SIGNATURE OVER PRINTED NAME

02173166881

TELEPHONE / PAX NO

-------L-. ............_.,~;_....__..,_. _.......-~....~.....,.,.._....__."._,-----IJOB ORDER.... k zI

CONTAACTOR ISUPPUU\ NEXT KOEl AIRCOtmrnOINING SERV'C£S Joe ORO I R NO. 21"U-O.126ADDRESS ~

Itt Attndll1 St. l'un0s.tnl Muntlnl\lpa City DATE December 2.8, 2021r---,_TIN NO. ' MOOf.OF SVPPROCURfM~NT

p\.Aa Of DEUVl_V 8~TANGAS MEDICAL CEN Jf.RDtLlV£RV TE.RM filII Jotl <.i'lltJIIH

.kUMiNIAr1G.1&AIA.JlAlAN,GAi.CLIY ~Q ACCePTA~r.~0' Ofll'lr~D.te Of OdlVti'Y! 30 CAL£NOAR OAY$ fROM THE R£atPT OF J08 O~O£R PAVMENTTfAM so days IJPOn Cl)mp~t.

t1"'!lv~"\PR~tATYUOlta imQ3!P'110N Q.VANO. II Ytm: YtHU9$! ~.wfiI

CLEANING EVALUATION .. ONE TIMEPMS OF CUMAVENETA PACU AT 1 lOT 14,500.00 14.500.00MOLECULAR LABORATORY

SCOPE OF WORKS:1, ISOLATE ELECTRICAL POWER SOURCE2.. GENERAL ClEANING OF CI.1MAVENETA

:\':8 ., cenl?-l3. TOfAL EVACUATfON OF REFRIGERANT., BatanuasGAS COi\/l:'--'':;i,. . ',-, ~.,.', \ ~)\J ON ALJulT t4, SYSTEM FLUSHING USING R1418 Ir 7-',C Et lED !NITROQiN GAS :~.b'

5.. TEST FOR LEAK-.. ~----I8. SYSTEM DEHYDRATION USING DeEP , \ -----tIVACUUM , , f-0, uess:..- ji

1. FUU. CHARGING OF FREON ! i ,:;I~ C--~;r~_---- -_JL._.__e. START UP ANO OBSERVAnON

T01AlAMOUNT 14.500.00

(TOTAL AMOUNT IN WOROSJ Fourt~~n thousand five hundred pesosonly.In case of failure to make the full dtlivery withIn the ttm, specified above, a penalty 01o~e-tenth (lllO) of one (1) percent for e~rv d~y

of delay shall be Imposed on ttl. LtndtUvt,ed It.m/l.V~ry truly V~" ~ , ~~" r- O-:c-' ~«~~ .t '.f r ... ~.r."'-':.c~!!l;:t';:n!:;::Z;fPc;s.M HA

~~~~ EI"·' ~/E I:.:g itt cs f/i''''' y.'.\ .J{J'" .---~_'_'nd~M.u.$~___ ~m~ fi r-'~~ .t'-;' . ~)\1J ~I lli.. ...~ ~ Ilenera' and speel.' condition, ~ ttl ,~c..fW. >$ PrGPOMI. LNGiNEEf'.INC ANIl I"I\UUllES MANAGEME"r ,

~·...,f...._.. 'QQt\C\0 • ~""'"__ -1!,.. ~.~~il.Jt\ME; .. ····~~~!-._~~. __ 1S\&natuf.6 (WeI: pdn" • of \!Pllf_ ')I- Q..~i DATE; /' L1trn. i1 ___ ==--= .. __-__ .. _._.-----:::=\ oate

nr oftS/suns No.:~M~'W" . ..C7ll .lY..«nO..."", o.t.91 ,h,e OI\$/8U"$.~ .......... '

CAaMIM~.u.o~A-~n.: l.i,SC)O.GI)

d'. '~'-"7.l,;' -~~f .-<q;;r- "'r*"<... ... - rJ

_. " ..:1 "f~tl7lJ:lt, I ~A"'"~_;r( J"l( ..."".f~ ...,t...U,,' ...j. . ,• i.,::- . - ;:;.m~.~I~ .'-'t. 11 t:O fI I : ""~..... ,.. .... " ........

-.-..,._..,...~

_URCHASE ORDER -"--' DA T ANGAS MEDICAL CENTE --r--:--

Supplie SAVIOUR MEDEVI,CES, INC. P.O. No. 21-12-0425

Address 5th Floor, 509 BTTC Center, Ortigas A venue cor. Date: December 28, 20~ 1..Roosevelt Street Greenhills, San Juan City

TI : 219-377-232-000 Mode of Procurement: Repeat Order


Place of Delivery: Batangas Medical Center Delivery Term: NO P.O., NO Acceptance60 calendar days upon receipt of

Date of Delivery: P.O. Payment Term: 30 days upon complete delivery

Stock/Property Unit Descri pti on Quantity Unit Cost Amount

No.

UNITFETAL AND MATERNAL TOCOMONITOR

I 320.000.00 320.000.00-Brand:Biolight China

PLEASE SEE .ATTACHED SPECIFICATION----

Satan bas Merj;'.::al Center Icor\llf~ 3IG,\) Or,) AUDIT

Ku~CEIVEDNote: RV

--~J)12Please Attach the Iolluwi ng if appl lcable upon del ivery 'j l:~ ft<

'i Illli;! II ~:~

,(NO au achment NO acceptance of delivery) ---. .. j1. Certificate of Product Registration from FDA2. Certi ficate of Good Manufacturing practice from FDA3. Batch Release Certificate from FDA

TOTAL 320,000.00

(Total Amount in Words) Three hundred twenty thousand pesos only

In case of failure to make the full delivery within the time speci tied above, a penalty of one-tenth (1/10) of one (I) percent forevery day of delay shall be imposed on the undelivered item/so

verytrul~ID'" ~- 2 9 or.c "r'"

KIe~tenor t ONCIT:}t{{iC A 'E,MD,FPCs;MHAMedical Center Chief II

Con forme:Signature over printed name of Supplier

Date Januarv 3, 2022Fund Cluster: bl ORS/BURS No.: O(P-IOIJDfw:2/- I~w a:zv ~r:-ullds A vn! lable: ~ (_O-VO-rJ nate Ol"1I1e ORS/BURS: 1-<./alP 1-l1

j

"Q Amount: 320,000.00

CARMINA C. ~,CPA

rzr2E:/~"('/

Ace lint,~~ ~~~;eWllt; page Iii

.c:..="'_' - I DOH Government Accounting Manual

~J 'ltrjQ t 1

i '7;-~.~URCHASE ORD-ER .__.../

- '''_.''''' r~AT ANGAS MlE19'1CAL CENTE1~'~-_\ I

"SuppHe $AVI0UR ~JEV;F(;ES, INC. P.O. No. 21-12-0425

AQhikes6. 5th FIQo'l', 509 ,sTTC Center, Ortigas A venue COl'. Date: December 2ll, 2021,-

R00Sey:~I~$.tl'e:~t.Gr~enhi~ItI-~,San .I.uan City'TlN: 219-177-212-'OGO Mode of Procusement: Repeat Order

_.

'Gentlemen:Please furnish ~his Office t.he 1~1.10wi·,l.lgal'~i0,les subjeet to the terms and conditions contained herein:

P lace of Delivery: B~'~lYl;:I\g~~Me~\ica.l Center Delivery Term: ® P.O., NO Acceptance - -60 calendar days upon receipt of

'Date of Delivery: P.O. Payment Term: 30 days upon complete del ivery


No.

UNIT"ETAL AND MA.TERNAL TOCOMON1Tor~

I 320.000.00 320.000.00-Brand.Biolight China

P'LEASE SEE ATTACHED SPECIFICATION",_ .~'.~~-'" ... -._-----

lBatan J8S ~:'E7'.i"::.11CC/1jer

COfl/i< "''C 'I C' .~ .<)1 j" );.~ AU t__'/ r I

r~l:CE~VE.D 1Note:

11 \

--~ !Please attach the l'oil~)M·ingir appllcable upon delivery .-, - --~J t-·-----· ..·- /

~--.--- !) III J (:

._f- -.-.-_.__J~_Q_".__....\

(NO auachment NO acceptance 0./ delivery) .JI. Certi ficate of Product Registration from FDA --,_ .,"-----2. Certiflcate of Good Manufacturing practice from FDA3. Bat~h Release Certificate from FDA ..

TO'fAL 320.000.00

(Total Amount in Words) Three hundred twenty thousand pesos on:ly

.ln case of fail UI'C to ]~Jake the fun delivery within the time specified above, a pena·lty of one-renth (1110) of one (I) percent forevery day of del.ay shut·] be. imposed on the undelivered itemzs,

verytrul~1ff '- ~'..,...... ," ., n Dre """.

Kt~tenor

t :ON IT:)~ A0t,Mo,FPCS:MHAMedical Center Chief II

Con forme:

Signature over printed name of Suppl ierDate January 3 2Q22

Fund Cluster: bf ORS/BURS No.: OtP-IOIIOf-;)'{- /,),_ ~ ~

hinds Available: ~ I I§"Vt) - rV Dille of the ORS/BURS: l..zl~ L.J.4r ..,._._--320,,000,00Amount:

CARMINA C. ' '1i.,.Y'>.,CPA I'%f~CJJ;' (/

- IA !:W ur1!3'))l~r ._)t,t~

I~lin ~ ~ 'is 'i1' 'W?re .,- pagec..=-- 11 bOI-!' Government Accounting Manual

.;,J,' .~.~jQ t.l~ "

Republic of the PhilippinesDepartment of Health

TECHNICAL SPECIFICATIONSSUPPLY AND DELIVERY OF VARiOUS MEDIC.AL

EQUIPMENT (REBID) 162021-0169

r=-__. ._~~??~~~~=~N~I~-~_..,_ ._I .rWfie-;,lioll tiS r~nniclll OIT~r

1_. ,,__w_ ---- ••• -.--.--. --'--- --. - - •• --.-------

liTEM! l: FETAL AND MATERNALTOCOMONI TOR QUANTITY: 4 SETSAPPRO-V~D BUOC--ET 11'(}.p

CONTRACT: PHP 1,400,000.00

----------- ._. - - .. '-I.~,....._.,.-....-...--~-- ....,-.......-. I

I urnm " ~1Ilw('ifkllrlnll :1~ TC'ct\ni,'ul onc·c- ,;'[~" ,It.",, or

-···-t-----~,::::AN;:~TK~~::--1··:;:::~~~~~£--'TOCOMONfl'OR

nroLl GilTCHINA j

------l--pliRPOsEOF-U§E··- _. - .._..,Provide scluuons for ali areas of falal rYlol1il,orcng.ranging from Provide solutrons for aU<fellS of fct<l!aotepartum. INr<lPllftum, lind postoarture clinical appltcatrons mOl'lltoriI'1I1;.ranlllOg frorr antepartum,\lv'tlllnl;:g.,..at~(J tl1uri.ll(Ji"ifig ui tWII'~' F-el-etll1t..drt ,,,ref U(UII(U: i!1tTa/J~tt"'l(r .• ;inc p',':h'pa:~~;1'( C.hftn:.at j

actIvity, flltal mOVf!msnt. intrauterine pressure and direct ECGas Ilppifc:ation5. With i;'ltegrnted tnonltoch.it 'well a. fTlatemal NISP. Sp02. ECG and iemper1:ltlJre.lt offe!rs cost of twins' Fe-llIl heM! fllte, \Jl~rh)1' ~~tlvlty. )

etteaive ilnd fle~)b,l!, sotuttor: tor ,,/1ret,,/ monJronng needs, leral movement, mtravterlne pressure ,INn hou t COlT! pn,)m'~ln.!l q ul!lrty, precrsion, pertormnnce and -"Hi direct ECG <)$ wel!:J~ malern!)i NiB):>.ec!tonomic~ :'p02. ECGend'Tr:m~rature. it offers cost I 1

~ffectlve end rlexlble S.OJuttOIl io: all (etel

I mOflltonn!j neeo~. w;rhou( compromj~lngl' '

Iquatirv, precisicn, periorman~ and 'Iergonomics .• Ihls equipment Iscomplving based to the mentioned. !

1 . . _ _J:.r.::::l:oJ(qu::;'::;rem~-:!::.n:.:.:t:..:(::.n.!th:.::e:..!:st::.:!,II~le~d!.;1 $~j:lle~(!!if1!!:'tl:I:!.!:!tI~Ot1~LI __j

PURPOSEOFUSE-- ----- . ,- (,--Jlnp!:.

i!1

PR..OCURt:.M~ NTSf:CTION

CertjiMti ~"i;<·:;t;~~r,~.2v.._ .__" . .....~ )r,

-

/TECHNICAL DESCRiPfjQN-----

'.j mSPLA Y MONITO(.lOl.:;pjay Mod'!!' Whit!! bltc'~n:l\ ..ncl T,.-un.111i.s.JVft

!IECt:lNlCAL DJiiSCR1PnON

11, ) DISPLAy MO:NlTORPhpluy Mode; While blI~~.(rou!'ld.Tfa"sml~ve

• OlspJijV mode:TFT LCDOl.splavtp.l BloUght F90 8rcchure.)

I~ Comply

• Site!: 12.1" Inches, high Iresolution SOO~600 r ('<,nlpi)

{p.lllfol1eht p~Oaro htrr&)

Ir~~n.lr.~Il.r~u~~nanc bar ~uppom two !

l,llndara~,:.O 2<1a {Am~rfcdn ~(.(Hl()3,JI (and 50 ~ 210 (International ~tandllrdi, ~

• 30·240 (American Standltfd) I (\,mply

~:~I'~~::t::C::~:~In~(hetrar~jlindow dl~plllYs fovr treces: FHRJ.{facti'.

tHR2IrA,>< !dU!!1 CQ"fig'.!r~I;Qn). Al'M ~rl'\( .

'land TOeO t(dce I• TWi" monn:onng function, C I

FHI'I1 8< FHR2. AFM ond TOCO, omp YMulti-display Interface

(p.l & 2 BloUght F-9O Brochure]

II!

III

The background p.ano bar suppnrt s two standbrtis. 30 ~ 240(Ame-riGtn s-rJi'ldUfdi and 50 ~ 210 (l1">~rJ'!atlo~a; rla"dlmfj,

I

IOlJrl!l!!. mon!tortr,g or rcvi.""lng. the trace window d~prilVs fOlJ'tl",'"S FHRj rl ace. FHR2lt del! idual conflgurat1on), AFM trace and

1..,. ..........-.-. •I ut.. U rr ece

I

f'·' •..• ,.... -- - ..- -- •••_ •._. .....,----.--.---- ----_.----.--.--.---- ~-'I

1·-·-·_··_·· .. , . ?ROCURfNG ENT!T~ .- ~m~~~~~~~l~~.__._.-._I

~~

s~rl_·(iCll'll)n nf T('Cil.oIc:d Olfel' ~,,~,\,jJiC~I(IOIl us T\'d,,,lrl,1 OJ'{l'1' IlIDJIHI·S.~f,Hl;~1I N r QI' I

,....,..,...... .__ -+=:=;-; ,,.- . f~)l\1I'l.l.\M'r._j'

TeCHNICAL QSSCRlPTfOcq

'FHR1IFHR2 trace FHR1/FHP.,2 t-:'<lce r II

The v-exls of the tfllCI! indkates the nurneelcs of FH~, The ranlle The v-axrs of the trace Indkilte~ theIS 30 bprn - 240 bern i,\rnenc-an sta'>dard) 01 SO bpm - 210 born numerics of FHR. The r~ngc is 30 I

II

(lr\~ern;lhm"l S{~ll(/Il(<1). bpm .. 240 b(:)tl1 (America') .s:tllndard) I!01 50 bpm - 21.0 bprn O'1termrtional5t~r;dard).

Measuring range: SO-110 - comply

l a~(p.l Blollght F90 8rnchufe)

-- - .--~------_._- ._----- - -.- - _- .......-

Ii!,:_: 194

N01E: The A~M truce lS onlv for (!'ference, please take thE MFM NOTE: The AFM tlilce I~ only forrnar\:.s as criterion refer!:!nce, please rake the MFM marks II as cr.t!!'rion I, M\II~t·dlwlay/ CTGAnllIVS's ICcrnplvI (p.2 SioUght 1'00 8rot:hul"e) I

I~"N-'C-A-b-g-ESCB-IP-n~o~~~----------------~Ib.tgC~H~N~!~CA7L~Q&§~&r.R~,~pn~Q~N~---rl--~!TOCO lrflC« TOeO trdC'() I

)

1 he V DX'Sindh:.<It~6 the nurnetk 01 TOCO. The! I1lnli! is 0% -lO~. The 1'·axISindicates r)'le numeric of IlOCO The '<Ingl'lls 0'1{.~ 100'lt. I

I ! - ~.Jrca5U7\ftg iingc: 0.....1wit} I~C.~!'r':pl'l

! I(P.l Slol(~1It 1'90 Bl"()chUfe) I

12. ) Antl-elt:rt;[ric Shock Type 2. ) AntHI·leclric Shock Type IDec~rae ofProrect.on a-galnn MarOlt ul ingri.'5, or Weier 01 <)In,,, y I Degree of Prorecnon Olga,nst Harmful

equlp,nl)l'l (sealed o:l'Quiprnel'1tINltf10ut liquid proof) In.gr<e~sof WElt'!": Ordinary equipment(~p.alad equ.prn .. n, without liquid

+-,

_._------,

1- Como1v I

fAFM traceInl'" v ..a!lls jf'd,e.M&s the scope of f~t"i movem,=,rH.

1I!

Comply

-.__ .AF,..ftrace---- -.---------T!-oc ,{'''XIS mdJl:<ltes the 5COP~of tetllimovement.

• MlJltl'~p""Yl (Ie; An.wl\4ll~

(p.;z SioHght F90 8rochure)

I.... 0',,'

,,,,,of)

• Scandllrd te~Ulfltmlll'H:Comply WIth lEe 60601-1 l)l)d

tp.1 Blollght FSO Srod'IUre)

Dagrc!-e 01 5aliHV ,n Presence ofFlor.'lm~ble c;.a~esMnil1 Unit:

<;tanriard r..qul,,,,,,,,ntComply with lEe G0601 1 andII,C 6(Ji;Ol. 1 2

Oegree ot Safety in Pre~enc;e of Flammable Gases Main Unit:

Il. ---l--.-_-..---.----..-..

·195

?rdlnsrv eQuipment {sealed equlpmefT( witlwu;liqUid~;~~fl-----'Ordln,lry I!qulpment (<;I¥3I~dd5/i DC 0 Trensducers. IP'X8·Ct her Ac~e~S'OrtC1' No liQuid Irllres S !'XIIJ!P1"'1t."f1t lv..tho!.rt'li('lUld proof!orotecncn US/rOCO Traf\$dllt'ers 'IPXB Otht!'(

ACcll~so(le:;NaiioU1d 1rn!(I!~sI -j)fol.e,tJon

• 12 Crv~tlll IP)(S wlIterproofProbe

(1'.2 Blo:llght ~9f) brodmre)

TECHNICAL OESGRWTtON

j::.. ) Recorder SpecificationsZ·tnld. tbermoseo..mve: With 1 em/min,]. em/min. 3 em/min

Printing speed Up 10 25mrn/s>!!c; 8 dot$/mm

I

14•1 PrinterPl1nt head: ar least 128mm thkk film Resolution: 8 cots per mrn

(~t;)ndardlPrInter speeds: 1.2. or }cm per. minute (wer .5el1!ctablel

Fast forward: 10 cm/rnlntTte I'HR scales: 30·240 bprn orSO·210bpm (u~er selectable) Annotation: Hospital name, ume, date,p,pe! speed. monitoring modes, slllnlliloss 1'l1ghspeed: RevIewand prrnt catch-up a: up to 20cm/minlAe

~--.

ITECHNICA~ OeScRWTIQN

J. ) Rvcorder SpecificationsZ·fold. therrnosensrnve: With 1em/rnm. ? Gm/min. :3 ern/min

printing speed Up to 25mm/sec; 8dot.:./mrn

Z··fold, lcm/lnin, 2crn/rnin,jcm/rl"'.ln I:Idot.l:/mm

(3. ) Recorder Spectflc.atfons

-fold, thermosensitlve; With 1em/min, 2an/min, 3 an/nun; t! 6ou/mm ~BlIs.od on tbe Supplem.ental BidQ Ifll.Wlt flo,Mp.2 BloUght F90 Brochure)

4.}Pri'ntarPrint heud: i:lt lell$! USrnm thid, 111mRe.5olullol1:S dots cer 1'\'11'0 (standbrdlPrinter speeds: 1.2, or Scm pel' minute(user ~electabll"lFast forward: 10 em/minute FHRscales: 30·240 bpm or 50-210 bpm(user selectable] Annotation' Hospitalname, lime, date, paperspeed.rnonll:onnl!, rnoc ea. signal ,05" 1'1I!JI"\

speed' Review and print :.atch-up atup to 20cm!,nil1ute

1 · BUllt·i" recorder. 1t,;,>mm Z

_ _ .•~~~d~dthen,ws.emilive

r---------- ...--~....-....._

r------'i

IComply

Comply

II!I

\

1

\I

i

196

prinlfng pap~r fitstrecording lip t:D l.~mrtl}l.

I"rint.erspeedl~m/mln.7~m/""m. ~e.m!,.,.!'"

(4.) !Wilt in printer - Based on theupplemental Bid 8lJUetln No.1)

{p.l elcllght 5mchure}

I~lI II II I: I

I

I___j

r:I --"..--.-.I!et!XSlCAb Q~"CBleTfqN

IMonitor Oilfitms!ons and Weight

IAt least 12 iru.hes monitor S 3 kg to 6.1 ke

TIII$ IS l!1terJded for use ,11the etectromegneuc ¢!tlilrommmt:

lomduct~d Rf lEe 611)00·4·6 with 3 Vrrns compliance level. overIthli! jl't!QuenCI/ ,ange iSD kHl to SO MH1. f!~!dltronet!\$ .houlrl bel tess than 3 VimI

PROCUR1NG ENilTY

S,,~dli(l\(iOll 11,1, T~chllirRI Offl"r

-----_._---,,_.BtOOER'S OFFE~

~I.,n '!L~lor·--l .......="""..,...--.---.-~-- " -. '._ ._...!..!L~_l '_\_"'-L......;

PHYSICAL. DESCRIPTION iII

III,

!Monitor Dimensions and WeightAt I.."~t 12 ,nche: ~on'to' 5.3 kr, to 6.1

,kefrNs 15 Imend~ (1:Jf Ilse In thE'slectromagrrenc environrnertt:.onducred RF tEe 61 OOO-~·6 With 3'rrns cornclrance level, over Ih~reQuencyrange 150kHz to80 MHz,aid strengths should be less tha(\ 3

Vim.I

IMO'1,to( Qinlellsion. 1::.1"InlOhe$ Coior Tn LCD Weight·.-:.;6kgStandard requirement:Comply with IEC 60001-1and lEG $0001·1·2

DI1)[H.R s

r Compl,

,. COI"ply

I1i!(Monitor

Dimensions and WeIght:

1,oast8" not more than 13'"t more than 61<g- Based on thepplemental Sid Bulletin No.1)

.__ . '" ._ 18Iolr&.'!!.£..~.l!r0f.~!.!!.l_ I.J

197

'UTiliTY R'EGUU;ug;MENro ~lmuTY RF'oGiffi:jfeyiif§--------- ---..__ ._,

Power Sv):lpIV Oper.lnl1ij \roltllge: lOOV'240v- O(1eratlt~ IPower $\.1$11'1." Opl?l"3tmg IF'ref)uent'y'. OI'12/!;1)Ii~ Il'\p!..!~ f'ower . :1.00· ~4(lV..\ Qnltot.",· VC!tllOle-l!!!!V:::O':-1ll../lV/4400mAh "echaq:{eilblc UthiU"!1- Ion OperlltlngfreQlJf!'n<;v,

OH1/GOHzInput Power' 100· 240YA9_.ltery, l4.,sV !~OOrnAhr~ethargeabl~ Llth,um-Io,",

I .) ?

Power !jupolv/lnpUI V(lll"ge Alt· Comply

• ~~~~~~~~~reqUf!'I1CY: SO/60H~r :ornplyllattery: 11.1V/4000",,, - t.<:lmp1vfe.'Mr~"lfbl'C! lithium 10battery

I.o.IBIQlfllht F90 8r~chunl) II .The recommended c;h<)r,f!'rerr-peraurre Jrange I~ from DC (+32F) to...IIOC !~l04F\

!• Fr'vlfonment tempel ~twrc' • Ir!.egr..es ~kIU~ ~ ~o dller"fl - Camplv

'll he cel:'~~mml!nded charsJ I~temperature range Is I

om 5C (+32 F) to +4GC 1+104FI- 8a~ecil In the S\Jpplemental 81d Bullcrtln No,d i

11 j1'-11 Slol1Bht FBOjr:90 8r_::.o_;;.:ch.c..:iJ1::_;_e)'--_-'-. ,0 .1

The rl!'l:oI'\'I.."onded ch"'~e ,em'_'erature rl)nge I) from OC (+3;>f) toto10C('104F)

___________ o _

198

---_._-----------_ .._ ......_-

IACCraSSQRISs, cc.NS~l5S! sPARE: PARTS. QTJ.:tE.BI . .CO C--NS. ~'--r--'-'--_------lcQMFgw;r:n . . -~- -~-- I ·R......,· 0 {) .UN.ABLES I

,qOMP<>Nm I I.)Ultrasound (US)Transducers e.)Ultrasotmd{US)rransdupsrs..".·th ;,cmol. ~(\bfe and connect,)r

fer \tngieton al'.d I'11'Jltlfe.tal pr"'gnanc(",1.

I ,.ITOCO Tr3n~d~!!:er! -wt(f, S~I'1~()Y, ~I.!hl.. aw.i CUfu't;!rtor

II ,!C. )8eltI

~ )R"mote Event Marker

l.\~etal ~tlmul.ltor

-hi)n~-h9kl devIce. In order to reduce ll'1dlme required for the

!'1ST wh<.-tl tl18 tetuS is asleep, i~can be used \Q give a mHd

"'jbratl1l1 stll'T\ld:iltlon to the fetus through the maternalabdoMen.nlqJJrrl!d for the N$T when the f~t.us 1$ asleep, It can l5'.! used to"iw i! mild vlbraTiMg stiml/lll(lo11 to the FetlU througl'l the milernlll

db\lomen,1ht! fei~1 ~tjMu~tt';t ~ cor"'~t;t~rl !<:' Ike monitor by an

\ .. "d 10 (able

L.PROCUREMENt SEcr~ON

,----~~-------------------Certifaed fh:~'lf> '(.t; f¥ r'• ... 1

8y: _, ;.\ ...,

-with sensor. table i'!('Jdconnecror-tOI slrlglf:'ton and mul[lfctllJ pr<!!i!;rliJ(lC'le~

:I In 1 sensor (fHRl roeo & (ornplyFM). WIth nnf~ ,.Jnt! Gl'1")!'dl)1

Tor ,lngiNOfl .and mvltlict3'WIth f.LI.' (llole

SCi"l~rI · with NIi3P cuff - Comply

Ita) llllr.!lGtl"d (US) Tf~fln;lIKl!"

,"'1'11 j1N:ludr.r eCG C4\blo I

!Sp02 and nmrplll'iIlUre 'fr.;I1$tll.H,erIIlIBP Cuf1 - Balled on 1111i1Supplemon1ul

Bid Bulle11" No.1)

1).18, 9{<)ji{lht SfJI"IIlCll Manual)

b )TO( 0 T ransdueers -WI(n sensc-, cacle"nel connector

with TaCO tran!riuCl!fS - WIth

I ~t(\iO"'. :ab!.c ~.;-..d' :;(}-'(!i.f!C!!)'

f)'" 16, fliolil1lH ael'v~ M,m ..... 'l

~.lfkllwlch tielt

.)Remote Event Malxerwith (emote I!venr tnark~r

.}FetaIStimuilltor

wtth Fe~aJ Wa\{er.16, Blonght SarviCQ M:.nual)

.h;l(,ri h("l(i 11t"\{ic~ ~norder to rc:duc:c

the time reqUired for the NSf woel1[he fetlJ$ IS asleep, it Ci!ll" be ,-,sed to

gNe a mild vlbratind stlmlJlation tothe'T1!lU' through thl! m tl!tr\alii'J)doml!'n.reQUlred (or tne NST when the. f&llJ~ IS

;';~:F!i?P. }t C'nn bot u;-~c ttl et~/e :t m:idI(lbl'llt<nK sllmulutlon to the fet\J~through the maternal ~bdoll1",."th"

fetal \timulal.-;r I~ (onnacted to th cmarlltor ~_an "uti!';) cab!'!' Thl~

C..:,mpl)

Comply

\

III\

I_I

, -, -"fo'V'" ; , r•• 'I~

_.-. __ •• .o __ ,. ~t.......,_-~~--_....~...--..-.-----,.

I\- Comply

i..\

cornPfY

C:omply

I- Comply

\L_

199

r----------------

II

If!q1JI~ent is cnmplylng !)1)J(lCto theImenDO,led Tl!qulroml!'llt.in the 1tatt:d1~t1f]uuonr """'pl, •• 11>" s.... m""

!I

I I

IIIII~ ~ ~ l

"" ,.~~~?_~R;S'9~!~~_,_~-:--1S 111 i l' h • 1 hfT 1 BlllOp.ln !'I~~C cnr on M ec m1:<1....... :r

~ I'A'ITMl-.:"-( OF •• CCMt·L:,"~I~'1. ~

I· Comply iI I!

PROCURING ENTITY

L-r DrCGC3ble

t) F,-!,,,I SOil al Elect. ooe

!j0ECG CaOiewith DECG cable {p,lS B10liltlltSnrvi<e M .."uel}

(g\F-eta!Spiral ~Jectrode• with Ftttilt Splr<!1 Electrode

p,249 bid docs

;,)lUP Cab.c unc 'ilth<;:t~r.. wIth IUP cable

p,250 bid docsI)fCG cable

• with Eca Cable (Iua Bk>lWJIStlrvlCfl ~JI"tiilll)

)Sp02 and l'empE'tlill)l'e Ttat')sducer! :t' v...·:th 51102 zr~ T<tn,pe!"'t\.!r~

sensor 11',18 1l101i.llt St.,...I,.Mellu ..i)

1I

• Comply

r Comply

I'",,~,!,

.L"\.!

"......,.,""'~__,...-~-:--:--~.,- ..--..-.-------PROCU~EME~1SEr!~,~ c :

C:aitiiied P~t~~'·'\'i.~_;fY!,_._!

W.____ ..__ ...--ur·'·

200

r'---

r'Nls!>cuff----------- --'-~--~- ..--.--~. _-J f1<tNIBP'Cvff k'_' __

I • wi'" NIBP""'I." ..........., '"",.1, I) M~nuallI 'I

:£ CONSUMABlES 2. CONWMABlE.5

• PlJp'!'r, G5M 80- 120

Paper lhrck1'lI!S.: 2· 4mrr>len:th' lit lellst 45m

WORKING Terncerature: ,.SC - -+ 40C (+4lF ~ +104F) RelativeHumidl:\!: 25~ - gO!>'; (non-condeNing') ArIll('>5phcr1C Pm!"svrc'860hPa ~ l060hPa

TR/\NSPORT AND STORAGE:Temperature: ·2QC - ..sse !·4f'-...1:111', ReflstNe HvmidltV: 25% - 93~ (fIO-n.condenslns)Atl'Po~pnerlc p~il:s.>ure:7OUl1Pa -1060hPa

L__

- Petper: GSM 80- 1.20aper lhlckneu: ~-4mm I,.ongth: at le<l~tSI11 I

r Comply

II);

• 7·foldpri therrnoseovruveL">rlntlng papa'. Fasr·:..:.....(8;'& up i,.':i l.:!.~r.":/~,I ?rinter spc cd ,ern/mHo.

I "t ......... l ........... 2,. .....1_1 ...

~

~' CON5-;;~~~'~~;~''''''''''

Pap-crtypl:; l fold. (iSM 80·120 orqutvalerlt - Based Of'! the

l5.spplemt:ntnl Sid Bulletin No.1) I+--_._-_ .._...)WORKING Temper'attlre_ +SC ~ t ADC ( I 1-+-41F- +10410) RelatlVe Humidity 2)n~ I •

t·800/, ("an·c.onu"n.lngJ AnnospM ..."r, I

Pto.ulJr~: B60hPil - lO60hPD

TRANSPORT AND STORAGE1 efnp<'!rl<ture: -2e<: ~ +sse (-4!= -Bit') Relative Humidity: 25% - 9~%

r

l'lon.condenllng) I\trtlosoh~rlr. Pr;;!~Sufe' I700hPa ~ l060I,Pll l

• E,nV1ronn~!'~t tt!mp-~rllturc;:tS •I degrees I...elCIU5'. oj ,,0 degree, 0 Compl,

ICeicJu~. ~ell!trv~ hUn1ldlty: 2S% ~ !93%Atmosphoflc ere..~u~' t

1!6Oh"a - W60hP. !• Store and traospcrtatro»: ;

Environment temperature: ..20 Idegree Cel$iu~ .• 55 degree r Complycelsius; Refa!il/t! humidIty 25~, .95%: atmo~pherlt pressure:SOOM~a ·1060111'0 I

,(p:l fllallght FtKljF9.0-&rQ!:hWt!

201

DEumy

lO to 6D d(i'(~ flom the receIpt of Purchase Or~.

BefOll! delil/tOry, ~\.Ipplier must cal! the Materl;,ls Management~ec:tlOn for d~lfIII~rycoordH'lll\ion to avoid non·a~<lptance or de-lily In

.tcceptllnc~.

/TRAINtNG,INSTALLATIONf UnUZATI",,-------·

II!. Completion oencd: The delJ~,y, Instnlt"tloTl, testing andi~\),,'n'''S5,onl')g cr the eqtslptTlf!!:1t nod it.•"'r.r-,,~.nrI4<, l"t-]I.lfllflf ,lot ..

tra.nHlfit of enthJ5li,($ and malntt'nllll1<e ~taft must be completed''''Irtlln l.S calendar days upon delivery

• T.~tlng· Prior to aeceptarvce. the end user shllli conduct (l

ph\l\Ical,nsper.tlon iJndfun~lion,,"r¥ tun. The equipment mU~1 heIfunctioning <lnd mus have. no phV$lcal ddl"l,!j! and de-feetII. Trllinlne' Thf!' supplier shall provide a training on the properIU5e "lId maintenance of 1~ equ!p.ment to [he end-users and to the1"''''lJltail'J13H1t>l' ...ance staff.

I1I

I,Please 5ce attached certifiCllte I I

TBAIMNG, INsTALiXi;c;"i[&- ..'---r,UTIb1ZA nON

11.coITIPlet;Ort period: The dehverv. I.Complylinst~!llltl'On, te-stmg .md oomm'ssloning !of the equlprnenr ,,,,d Its 9CCf!'~toncs.

lncludingtl1e training of end-users andm~tntenllnce stoff must be completedwlth:n lS calendar ti"y;. l'pOn dell'.'ery

30 to 60 dll'l<' from th<! MttNPt of11'u,c1TaU! Order.

Sefore! dellverv. supplier m~l cllil theMaterl.l$ M1IF'lIgemMI S(!c!lOl1 (Of'

d.hvel'Y o::Iorciit'lllttOt> loavold ,10"-

3c~eptance or d"lav 1tlaccept1)l"\ce.

CampI" on this statement

l Te.~tlne:Prior to accectance. the !!ndu~~t sf'r.lHool'1cillr.f '" OhV51C1I1in~pf:ctl()nand functionality test. The equipmentmust be functioning and mOSll1 ...v~ nophvslcal damage and defecl.

,.•.•.-,---_ .._-,Comolv !

II

-- --.-.....---~!

I1- Comply

I• Comply

3_Tm nlng. The suppl)er Sh010Iiprovid~ a!r"lIlll'l! on the pr~1' u~ea"d1:~ain\-':riZi'~ c~ the. '~'-ftpt.'iCi'H:·:O ;-hcend-users and to the hospital

eintenence staff.Comply on these statements,

SavlO'ur MeDevlcf!s, Inc. will provide011the above rn~nllonedro~~~~h ,

______ ~I(~P~le~a~s~e~s~e~e_a_trn~c_h~e~d_c~e~n_l_ti_ca_t~e~'~l~ _____j

I,IL

I

I~NTY-' ~-T-~'1 WaH'lln Y' W'l1nlllty.'Ct!rttllc-ale lOT two L C.\'1!"1'lPl;' I~2)YeBl'3 on ~&rtUIrn:!~1'T sO!'rvlo&t~.Th<t I I

~

pPlier sMallelthlU repair or repl<lcO!'anytim or JJ?rt in the equlpm@nt that 1£

ound to be defl'!r.t~.I1! In m~terial or In

ofkm':lrI~h'p under norll,,,1 use. T~earranrv oertod shalt eernmence the

dMC of acaptl)nct! bv Ii'll' em:! userfter te:.ti!\g and c·~m.rnj~1~r\1~~Z.

tflreliftnt'\Ie Ma,ntemlnCIt/CailbratlcncMdule Within the warranty porlcd

2.Sl.Ippllf."r .!hnH t:Oi'ldHcI (t,.e n«eiW(y

.Suopl!~r ShilUcotKluo. the necessarv correCtive maintenance corrective maintenance withIn flllP. (.5),,,111m i';V~ (5) o;.l.lIendiiT oa ~ upon notltir.~t'on rtf t!ql!lprnem ",end", Oa>,l; upon noiirfc"tlon ot

'

r'Wkcown from Ifl:l end-user A service unit WIU be provided dUring Quipmem oretlkOOWf1 itom till!! end-orr'l'c. t'''~ 111l1ht~l1>inte. Tt>c.undettaki!'\£ ~hallll\dude a stBtam~nl use:. A service. unit will be provided'*t tn", o<Jmb~t of days wh ... e II-Ie e'1ulpmenr I~ unusoble ave!' to unn! cor'Dctiv« m8'nten ..nc... TheefllrtlVl! tTlat~ria! or wor'I(l)'.ans.h,p, shill! be added 1"1:> the warrant·" undert..,ldnc sholl 'nelude ~ rtatem<rnterred. thltt the number of day~ where Ihe

~qui9ment rs unusable due to defosc:t'\!1!:

IImat<!rr.!11 or ",orl<m .. n~h:p. ttl/Iii OP. ;:Idril'o

Ito the warrant'y period.

~~'~J~:~~~:t~~~:,st~~~~~~:~..,..~, . ,.'u~u ,....\C, ....."'::-.,'-c" lU'w4 1IN'1l\. ~u"U,,,uc

) II ttle above msntlanecJI tiquirements IL Please see a1~cbed C1!rtl.fteates) J___ ~_~_~~...1l:..:=::,,:!::,::;"::':;:::'::;;';:::":;';;~;';';;';;;;;.1._.....,_.j,, _--,~- ..~~-

IIWARRANTY------'----"---- '..__..._._I

11.Wllrranr'f Wt3tra"'iYl:l!!rtlh(ll~-e IOftwol2J Vear.! on pim~nd on~r""t-l.. The supplier sheil elrner rEWalr o'flepjac:e any item Of part inthe IOqlJ1pml!r'lt that is found 10 ~ defe.:tlve in n"I1It.rlal or tnlor~man\"jp under nO"1'IQlusti. TI~ W81'T.imty period s-h1!11.omrncnCf! the dDte 01 acr:eo "nee by the: end-user nft.e' te~tlngnd c:omml$s(on'nlt • Prevent"", Ml1ln~t!na!'\=e/Cilllb"lIon schedul",U'ln tn~ yJ1!Irre1'ltyperiod.

_ .._ ..._ ___,.....,

~CQmplv

I

203

.._-_.__._-------·--ltiQCQMENTAT10N

IDOCUMfN IARY R£CtUlREMENTj11 Prrlduc! brochure 0' lechnlr...Jdllta ~h~t(s) of the equipmentshuwlng lhl! ted,nitill

sP'!.Clt~etjOns 11'1 Engli4!1Illl'1€uage

I

II

/OOCUMENIADQ!:i

jDO(UM€N'rAR) qt:QUIREMENT'.>

~

'flfOdUd brcch.m,';:'1 t!'chnialJ dat .. sneel{sl of tr.equlprnenr .r.howlng tl"re technical spMlficatlon.s 11"1 English

lA"gullge

f.V~ill1 MarJ.';;tl"t: AlJI.:hort!!ltlon, R'egI~tratl!)nApprt>lI;)! or Frel1

Ie CCI1Ifr:::l!;: ler il'ilch aq"ipment I~\.t.;d by Ih .. Healthvlhorlty (M the to\.mt~ COUMtry of origin.

I

13 Valid Cer'url~t~ of CJ'tr\b\stw$hlp (ii' nr~t Tler mlltrib4.ltor) !s$ued~)I tne l\~nutIlCt\lrarof net. equ\pmet'\l' &uthOtliing the bid.d~r torl"lI/diJtrtbute the offeredequip"rumt.

.Ust and 3ddrel>~ of the equipment Manufacturer's brenchtfice, seles offlce and/or distributors office.

r-·--------~--------PROCUC"ll14G ENTITY-----_ ...__ ._--- .._.

SpccificntiolJ ASTeehnical orr"I'

.------~-:--------:----.-_--....-Proof {Wd'l IIIi s<\lea invoIce} thl!t the Brand of the

quipmant has been sold to other h~aftf1 f3<:illtles In thehihppfn~1.•

-" '~--------'''-'IeUD!:$R~S'.0Ff£-R '

:!..Valtrl Mllrltetlr.gACltt>cn~aHo".

jneSjitC<ltlcn Appro ... ! or r.r1!e ~31<!~r1IficQte for EI(lch <!qulpml(nttssued by the He;:Jl~h Authorlt\lln {Mecountry country of Of;.'!il1

3.VaHd c.er1ft1~e of Ol~trlbu~orship (ItSi'Nl TIer D,stdbutor) i$Q.n:d·by the

IManutacturw ai e:ach equIpmentauthorizing the bidder to son/dl~tTtbun::the dffereaequ!prr-;!!"t.

4.liSlllnd ttddres~ ()f the C!1U1PrTl<!llt

Manufacture-r's brllnt" offiee. sitlesoffice and/or distributors ottice. Comply on these statements,saviour MeDevices, Inc. will provideII the above metltioned

requwemcntll(""eul: $ee atbdie(i t'eroffbrt:es)

Spec,inrn1I-011 as T~-Il1lltI1J 0111)1'

.i'rrJai(su~!-;~;~;;;~~fcei-that the Brand of the

q'ulprnsl"lt h"S "e'er' sold tother health ~r:llitles in thehillpplnes.

5.Not31'l.ZeO Certificate from the bidder:a That the brand of the eoCjUlpment

nas been In the l.xill and/ori! T'l')ilt IKe hi anrl t:l( tlv' e.q(dprn"nt has t!l!!l!n In the local and/or

[

ntemaoonai ,ntttketfu1 (Jl }ao~'it';fi {jO}-fij5.;ir":;.

,That the ..·qvlpment and Its "c;c;eSSUrlo!' arc: brand new, unused,N dIS(,Ot.Jnted mod~ls and wert: I'lot 1uolected to eJlV

l!:p!!.rod~·!!.I1~c~tc..:.r!:e::::ca::.:rl::.. -- -J,. • •

10) years.Thnt the I!GUipm~rrt and Its

ccessorles are brand new, unused, not

Cornolv

-,,I.J

. Comply

t cornolv

r Com."

I

OfOOtn'S

Sf ATI':\IJ ....'r()~

..c[;,~~·:ll\~.~.~.'-1

comply

,....--.....",.==.:7===--r-----------'.'SE<:TI~~+_-_._...,..-;'- ",o;t- ,,,,,.r:... ~~h.,,,,",,- ,Iv 6 j C~ L··.. '.' " .: J"

_ r .. ~;.'. ,.1,,;

..._. ~-_. _ ..._- -~-. -._ .-- -----_._-

I It com~~v ._1

204

.'

- PURCHASE ORDERBATANGAS MEDICAL CENTER

Supplier: MEDALERT ENTERPRlSES P.O. No. 21-12-0423Addr s: LALA YAT, SAN JOSE. BAT ANGAS O•• e: December 21,2021

NE(,,oTIATEDPRO(,UREMENT -

TIN: Mode. of Procurement: EMERGENCY CASE-.

Gentlemen:Please furnish this Office the following articles subject to the terms and coaditions contained herein:

Place-of Delivery: Batangas Medioal·Center Delivery Term: NO -Puroh-ase-Grder. N() A.eceptflnCe

.Date of Delivery: 1 da}' from the receipt of PO Payment Term 30 days .~n comEle~delivery

Stock!Property Unit Description . Quantity Unit Cost Amount

No.PIECE CADAVERBAG-ADULT, NYLON BAG ]80 450.00 81,000.00

FOR STORAGE AND TRANSPORT OfCADAVER, WITH FRONT ZlPPER AND

BACK HANDLE

PIECE CADAVER BAG - PEDLJ\, NYLON BAG 50 420.00 21.000.00

FOR STORAGE AND TRANSPORT OFCADAVER. WITH FRONT ZIPPER AND

~atangas Medi ,81 CenterBACK HANDLE

Cbrv'llSSION ( IN AUDIT -

RE~~.SJJ~EDIT'-

( NO OItfd4iHnOOt l:fQ. uUlJfilllc;cl 9( delwe.ty) B : .ud[l· ~\I\ 1,le 'C ~.lfil'ppkabl,e :- vI. ~ J Ji)j}I: ,1,"I, , -I CCll1~I'CI'~ (If l>mdm:1 ~iSb'll1inn from mA .I If: 111 .

'II I\C~2. (..'J.rtiJk~e ofVood Manufacturing prIICtice from FDA

._. -3. Batch Release Cc;rtificate from FDA -

TOTAL (PHP) 102,000.00

(Total Amount in Words) ONE H{J"Nl)lfED TWO THOUSAND PESOS ONLY.In case of failure to make the full delivery within the time specified above. a penalty of one-tenth (I II 0) of one (J ) percent for

every da,y of delay shall be imposed on the undelivered item/a,

Very lruly~ /.}, .,' I I;:.(: ,..

Contorme: ~>W~

fOCI C.~t AYE,~n,~~"AMedical Center Chief II i ...:~:n

Signaiw-eover prinn~of ~ppJiCf'

nate I;)" (J-ql ~l-IFund Cluster:

- .

ORS/BURS No .. ~·lOtIV\· il>9.I·I~ -1,lQ 9JFunds Available: Date oftbe ORSfBURS: I~Hln

'C«fI Amount PHP 102.000,00CARMlNA C. CASTlI ...I,O.CPA

}d.J~~'Jtt('

Accountant lV ~~

~DOH Govemment Accounting Manual

./V\?~ ~p lY\

I,'"

P.O. No. 11~u..c)4n--------

·tmd·Oq~."u~$ A~Ji!b1e;

Jr, "._.\

t._.t~~J

R.

P.O. o. _..;;;1;.,;;.1-..;;,1.;;;.,1........04..;.;:;2;;;;;2_· _

PURCHASE ORDERBATANGAS MEDICAI~ CENTER

Snpplier: TECHNOMED INTERNATIONAL, INC.Address: 4fF MEDECOR Bldg., Ortigas Ave.. Greenhills

P.O. No. 21-12-042IADate: 24 December. 2021

Mode of Procurement· NPEC 202]


Place of Delivery: Batallgas Medical Center Delivery Term: NO P.O .• NO AcceptanceDate of Delivery: 60 calendar days upon receipt of P.O. Payment Term: 30 days upon complete delivery

Stock'Properly Unit

No.Description

! set UOSPIT AL BEDS

Brand:(·OMI'AS .....·

(SEE ATTACHfW 71:Y:HN1(.'AL SPFX'lNr1lJON.'·j'j

Note:

Please attach the fcl/ov.fng if applicable, upon delivery

( NO attachment NO acceptance of delive/Y)

1. Certificale of Product Registration from FDA

2, Certificate of Good Manuf8CIuring practice from FDA

3 Batcll Re(ease Cedifice.te (rom FDA

1,266.000.00

Quantity Unit Cost Amount

30 42.200.00

3atangas M~(~'ai C~;~lC DNIISSION ON AUDIT

RfECE~\lED8v: /oJ-.

--O'OCU-"...-l-rJ-r"_9-ll'-""--

"I-,:_. ~-I~/ __ n_~i__~(t,.__ ~------~~~~~---I

(Total Amount in Words) rOm! milliontwo Jllmtirell sixty-six thousand pesos (1,,1))TOTAL 1,266,000.00

In case of failure to mak~ the full delivery within the time specified above, a penalty of one-tenth (1110) of one ( 1} percen!. for

PunClCluSler: U B Y: ---~k:- O"!~5[l}W~B_N(\.· U· IGl\;::~~I:d·\1"ltP".!.Funds Available: /.c2(;;('; ,1;...f)J·,::F) \ \ Date of the ORSlBURS:

'/ r""'!:i--~' .' V Amount:CARMl~~~-LO.cPA. .-(1('o, ." ,~--

. - •(Accoufltati(fv . 'J'J.I';)p.f~j~'.#"( ... "':.-i'~..: ..:....··r···;:--::-::- ..llt

.1,,266.000 no

;._..;.;Vl,._ ......··.:...... ,~

DOH GovernmeutAccounung Manua!Page J of!

I

-_PURCHASE ORDER

BATANGAS MEDICAL CENTERSupplier: TECHNOMED INTERNATIONAL, INC. P.O. No. 21-12-0421AAddress: 41F MEDECOR Bldg., Ortigas Ave., Greenhills Date: 24 December, 2021

TIN: Mode of Procurement: NPEC2021




No.1 set HOSPITAL BEDS 30 42,200.00 1,266,000.00

Brand:COMPASS

(SEE ATTACHED TECHlvIC}...L SPECIFL4.TIO]VS)

Note:

Please attach the fol/owing if applicable, upon delivery

( NO attachment NO acceptance of delivery)




TOTAL 1,266,000.00(Total Amount in Words) lOne milliontwo hundred sixty-six thousand pesos only

In case offailure to make the full delivery within the time specified above, a penalty of one-tenth (1/10) of one (1) percent for

yerytrucfours, jf '~VJ '1, ~ 2 ~ DEC 2021

;iA!MONcitj C. MAG A E,MD,FPCS,MHA

Conforme:I

:~ _ 11.:,',; 1ISignature over printed name of Supplier I ;

Date l ., :(-'. 3 ;.&~t"~Fund Cluster: ()I BY~k---ORSIBURS No.: t4/ o IIO/7IlI-I :t-am;(_Funds Available: .11:Ncp C(J). co Date- orifie'bRSIBURS: Iil.Z02»(o?L.

CARMIN8LO,CPAAmount: 1,266,000.00

f)q;?J~ /-;U;;)_( ~

,DOH Government Accounting ManualPage 10fl

Baxangas CityISO 9001:2015 CERTIFIED

Republic. of the PhilippinesDepartment of He~th. Cemer for Health De"dopment (CHD) I\'·CALABARZO!>l

BATAJ."IJGASMEDICAL CENTER

TECHNICAL SPECIFICATIONSNEGOTIATED PROCURENENT·- EMERGENCY CASE

SUPPLY AND DELIVERY OF HOSPITAL BEDS

PROCURING ENTITY BIDDER'S OFFERBIDDER'S

Specification as Technical Offer - . SpeeirlClltion as Technical Offer STATENENTOFrnultllr .......

ITEM: HOSPITAL BEDS H:l3PITAL IRS CalplyABC: PhpJ,SOO,OOO.OO ~: R-p 1,:ffi,(XX).OOUNIT COST: PHP SO,OOO.OO ~ CC6I': EHP 'JJ,(XX).OO OnplyQUANTITY: 30 SETS . cUlNJ :J.Y: ,l) SEISPURPOSE DEliSE ~CFU3E

For Patient bed use For Iatdent bed use Onply

:_nptNlC4L QMQHP-l1ON - -'IFnM:GAb-~- ..

• Bed Length: 2110mm to 2160mm I: Bed Iergth: 215m CaIply• Bed Width: 960mm to 970mm ~ Bed Width: %5rm Catply• Bed Height' 3S0mm to 780mm : Bed feigj:lt: 3:Orrn to 6<nrrn Croply.3 aanksfor adjusting the positions of the back section and leg : 3 cranks for edjustirg tre posi ticn: Croply

- section- and bed height, with overloading protection of tre ~ section erd Iegsectim• Bed Back Section Lifting Angle: 750 arrl bed h=igtlt, with overl.a:rliQs_~ tecticn• Bed Leg Section Knee Break: 400 ~ Bed &:ck Socticxl.lifti~ Arg!.e: Q-7cP Crnply• Bed Swivel caster: 125mm diameter, with pedal lockable brake : Bed leg Socticxl Kn:e Pc8ak: O-LI:P CarPIy• Bed Frame: carbon steel with electrostatic powder coat finish to ~ Svivel Caster: 125rrn dia. wi p::rl: ~ Cmplyprevent rust l.ockable l:ra3k- Mattress Platform: carbon steel with electrostatic powder coat ~ ~ FJ:.1Ire.:. MiI::Ie l:¥ steel wi ~ G:nply

. 1inI$h; 'I.::sectkJn' WltJrVS'ltllation1101i5- cmthg .-fini:S1.-ro preiEtlt-n:JSt- High impact resistant ASS head and foot boi1trf with corner , Mltt:ress Platforms Mrl2 l:¥ steel wi Carplybumper ~ coatirg finish, lrsecticn wi- Collapsible aluminum side ral1s venti.latirn roles-Inclusive of bedside cabinet, overbed or Cross over dining table, Higllirp:ct resist:a:ce ASS beed am CarplyiJl1C1 f'i:X:JGCr:Jo( foot ~ with correr hnper

-",-Bedside-Cabinet: -f11iJrJe-(}{..t1igb..impact-resi5tantABSP../astIcrPuD...o •-(GLlafsible -ahm:iJ..un ·siSe -:mlJ..s - .~.by-out drawer, with one shelf pullout plate, lockable casters. Size · Irclusive of te::ls:i!:E cab:iret, rw..:n-ho oj Carply48cm x4Bcm x76cm to 78cm dinirg table arrl footstool

• Pa::lside Cab:iIet: rra:E of hizh incect earolv

PROCURING ENTITY BIDDER'S OFFER- BIDDER'S

Specification as TechnicalOHer Specification as Technical Offer STATEMENT OFrnMm'ANrIf:

PHYSICAL DESCRIPTION FH'lSICALrRrRIPTIClJ Croply

- .3 Qmks ..Mn.Bl Jhspi tal Bed, .with. : Dllply. . .

col.1.afasible alunirun sid; rails, ire ~ive3 Danks Manual Hospital Bed, with collapsible aluminum side rails, of lOOnn thick fcan nattress with 1 tteindusive of 100mm thick lbam mattress with leathere/te cover, cover, J:'8IOJable IV pole (2 mits),removable IV pole (2 units), cross over bed dining table, cross CNer bed dinirg table, footsto::footstool and bedside cabinet am bed sire cabiret

TRAINING, INSTAUATION & UTIUZA770N 1lWNIN:;, 1NITAIlATIClJ & UTIllZATICN Carply

Training on proper use and operation of beds. ~ on ~ use arrl qa-atioo Carplyof beds

-

DEUVERY IE..IVERY Carply

30 to 60 days from date of awarding of contract. 1(}-15calerdar days fum date of :w:ln~;reCarplyof ccntrect .

.8efi:Jle..deliver.y,..supp/ier-1T1.IJSt ..t311.rheMaterials Management _E'sfQr;e -delivery., ,trust.G.a1l -tl:e M:it:Ari d~~lYSectIon for delivery coordination to avoid non-acceptance or delay :1:11.1 v t Sa:.tioo for del.iveryIn acceptance. ~ avoid n:n-occeptan:e or d;lay

Illl -. ,o..c;:.

WARBANlY ~ Carply

- -Wananty (One year for parts anii Labor) . .:w:u:ranty {tre year lor parts am 1.al;X ~) CaTPly- Certificate of Availability of Parts for FIVe (5) Year.safter the -Certificate of Availability of Iarts for Carplywarranty period Five (5) YffirS after tbe w:u:ranty I:eJ dod

DOCUHENTAUON II\II<NI~ (N Carply

- Slibmlt mantlfatttJrers manual. -~th -M:inifa::turers 1'tna1 . -Carply -

SUbmit Certifications for: With Certificatioo for:- Wananty (One year for parts and Labor) -Wm:anty (ere year for parts am Ial or) Carply- Brarid new offer (beds shall be brand new,..unused, not -lXard tl3N offer (beds are I:rarrl n::w Carplydisrontinued and not in the list of p!fXlud reciJlI of USFDA) U1.1SErl, rot a disccotined an:! rot n~After Sales Service (Beds shall be maintained by the Supplier's t:h= list of p:cd.ct m:::all of lEffi\

--own-expe#elieedB,giReeI'S-ilnd -TedmiEians) - -After- -Sales -5eI:vice -(-&:rls -will -bem p;ntai.re::1 -Q:nply- Certificate of Availability of Parts for Five (5) Year.salter the ty rur CHI experierced Bi.o-M;rl . i1:lns)warranty period -Cert.ificate of Availability of Iarts for Catply- Brand in the Local market (Brand and Model shall be in the local Five (5) Yers after tbe ....arranty psp_oomarket for Five (5) years -&:ard :in tre Local, rrarl<et (lXard au: Catply

Mxiel is in tbe Iocal rrarset for Fh,e (5) years.


STATEMENT OFSpecificatiDn as Technical Offer SpecificatiDn as Technical Offer

SAFETY & STANDARD

SUbmit Manufacturer Certificates:--Is;) !J(){Ji.'2(J15-(Qt:Jaliliy-MiJRafJemeflt-Sy$temj

ISO 13485:2016 (MediCiJ/Device Quality Management)ISO 14001:2015 (Environmental Management System)ISO 45001: 2018 (Occupational Health and safety managementSystem)

&\PE[Y AN) STAN)\FJ)

.With Mrufoc.b.Jrer ¥ificate.: .- . \

TID 1.3485:a:>16 (Mrlical D=vi.ce Q.aliSystan

CaIply

Croply

(Sgd.) ELIZABETH 11. PAUNE5, MD, FPNA,FPps,FCNSP

.sAC Chairman

TECHNOMEINTERNATIONAL INCORPORATED

_~"~ {){}/II PaMfmr;

December 1, 2021

CERTIFICATION

ThisIs to .c~rtify that our company is the authorized distributorin the PhilippinesoTfheTtern ottered in -fhe-bid proposal-to -sotangasMedical Center, Batangas City, as such:

GENERAL CONDITIONS:

_._ -BrOAd: -Compass• Country of Origin: China

• Seeattached Certificate of Distributorship.

~ It .ls understood that we are teg_ollyresponsibte to deliver allissued purchase order/s and lailure to deliver fhe lirs-tPurchase Order as scheduled will mean automaticcancellation of the POand Notice of Award (NOA).

• Upon Concenotlon. the SAC will proceed to qualify theseccno. -lowest :j;;).j,QQer·if ·GppJi-cQble; ·or .proceed .toNegotiated Procurement. The Winning Contractor who failedto deliver will shoulder the price difference (from the secondlowest bidder) of the item in addition to the acquiredliquidated damages.

Thiscertification is being issued as one of the documentaryrequirements of Batangas Medical Center.

NOT VAUD WITHOUTTECHNOMED SEAL

;

.~ PURCHASE ORDER-

BATANGAS MEDICAL CENTERSupplier: ZUELLlG PHARMA CORPORA TlON P.O. No. 21-12-0421Address: KM. 14 West Service Road, SH cor. Edison Avenue Date: 24 December, 2021

Sun Valley, Paraiiaque CityTIN: 000-172-443-000 Mode of Procurement: PB DEC 2021



Stock/Property Unit Description Quantity Unit Cost Amount

No.1 unit Volumetric Infusion Pump 10 45,000.00 450,000.00

Brand:FR.HSl!,'N1US


Note:

Please attach the following if applicable, upon delivery( NO attachment NO acceptance of delivery)



3. Batch Releas9 Certificat9 from FDA

TOTAL 450,000.00(Total Amount inWords) IFour Hunmd Fifty_ Thousand Pesos only

In case offailure to make the full delivery within the time specified above, a penalty of one-tenth (1110) of one (1) percent forVery truly yows, ~

~~~~.r1' DEC 1;21

W

N C:=:,MAG A ,MD,FPCS,MHA

Conforme: 22],.~Signature over printed name of Supplier ' .u _.

Date 1.. : -S-\:o r ~ (Jq NtFund Cluster: DJ

o I. ___

\ ! ............ Siftl:ffi:8 No.: &;-IOIIOI-W)21-12.7\Im IFunds Available: lka. LLljl~llnnrrrn Date of the ORSIBURS: f.J./:z9/1J(,f._._ <» '--

Amount: 450,000.00cARMTN'J("d. ;{ ~tQCr~021

~~@ rrrr:J~" ;rn~ .c..:..f :~I:·.'~":.,,.:,Jl.l...DEC 12 8 2021 II - - DOH Government Accounting Manual

Cr> p, Page I of I: I

.Jl.:5G1."50-(TT·t-----------------

~JZUELLIG~ PHARMA

PHILIPPINES

Schedule of Requirements

SUPPLY AND DELlVERV OF VARIOUS MEDICAL EQUIPMENT- REBID - 182021-0188

ITEMDESCRIPTION QTY DELIVERED, WEEKS I

NUMBER MONTHS

VOLUMETRIC INFUSION PUMP - Fresenfus Kabf2 INFVP7S-ED3 Volumetric Infusion Pump 23209961 10 unit 60 to 90 days from the receipt of

Purchase Order.t's

TECHNlCAL DESCRIPTIONClass I and intemally powered equipment,Defibrillation-proof type CFapplied part (according to IECIEN 60601·1) Classlib medical device(according to Council Directive 93/42/EEC) IEC/EN 60601·1-2.IEC/EN 60601·2-24When not using the drip sensor O.OJ 10 UOO.OO mUbWhen using the drip sensorO.OI to 1200.00 miA. (when setting is15 drops/ml.) 0.01 to 120000 mUh (when setting is 20 drops/ml.)0.0110300.00 mUb (when setting is 6() drops/ml.)Drop settings: 15,20 and 60Dose mode: mLih. ug/kg/min, mg/kg/hFlow rate: O.Olml/h (minimum)

Upper Occlusion alarm, Lower Occlusion alarm. Nearly Emptyalarm.External communication functionPressure atarm=t, Air-in-line alarm. Door alarm. Flow Rate Ab-noonality alarm. Free Flow alarm. Line Empty alarm. DripSensor Dislocation alarm,Battery alarm, Shutdown Notice alarm. PowerFailure alarm. Re-alarm, StartReminder, No Flow Rate alarm. No VTBI alarm, Completionalarm, Link Interruption alarm

PHYSICAL DESCRIPTIONTE-LF630ILM730ILM830/LM835: 120-260 mm (W) x110-140 mm (H) x 95·210 mm (D). approx. 1.5-2.0 kgTE- LF632/LM732: 230·260 mm (W) x 110·130 mm (H) x 95-125 mm (D), approx. 1.0·2.0 kgWith touch-screen andlor buttons that enables to quickly createconfigurations• Compatible disposables: universal infusion sets (with Free FlowProtection)

UTILITY ~EQUIREMENTSAC 100.240V. 50-60 Hz, Intemal battery(Lithium ion/polymer battery!NiMH). Subbattery (NiMH)

At least 4 hours (ut 25 mUh at 2S·C with a new fully chargedbattery)

Recharging Time:?8 hours (when charged with AC power supplywith the power turned off), battery can he charged to SO% in 3hours.

ZUELLIG PHARMA CORPORATIONKm. 14 West Service Rd. SSH. cor. Edison Ave .•Brgy. Sun Valley. Paranaque City

Tel: (02) 908-2;222 Fax: (02) 625-0841MOo",,,, ","'00r:

Group Safes Manager

ACCESSORJES. CONSUMABLES. SPARE PARTS. OTHERCOMPONENTMinimum flow rate increment (when not using the drip sensor);0.01 mlillMinimum flow rate increment (when using drip sensor): om mlillWhen using an infusion set of 20 drop/mL: minimum increment ofO.Ol ml/hWhen using an infusion set of 60 drop/mL: minimum increment 0

·0.01 mlfhInterval/intermittent mode:. mllb mode. body weight mode, dripmode, loading dose mode, ramp up/down mode.sequence mode.relay mode. Delayed start mode.

Provision or with available clamp for IV stand to secure the safetyof machine.

ENVIRONMENTAL REQUIREMENTSOperating temperature: O-SOC Humidity: <95%

DELIVERY60 to 90 days from the receipt of Purchase Order.Before delivery, supplier must call the MAterials ManagementSection for delivery coordination to avoid non-acceptance or delayin acceptance.

TRAINING, INSTALLATION & UTILIZATIONBnd user's training in operationBasic maintenanceUser CareSafety and operation check before handover

WARRANTY2 years warranty on parte; and servicePrevention maintenance twice a year or quarterly

QQCUMENIAIION

Manunls and brochures for use

SAFETY & STANDARDSafety certificate from a competent.authority CElFDA (US)/STQC CB certificate! s'rQC S certificate or valid detailedelectrical and functional safety lest report from ERTL.

ZUELLIG PHARMA CORPORATIONKm. 14 West Service Rd. SSH. cor. Edison Ave.,Brgy. Sun Valley, Paranaque City

Tel: (92) 998-2222 Fax: (02) 625-0641Michelle Loraine G. Sanvictores

Group Sales Manager


TECHNICAL SPECIFICATIONSSUPPL Y AND DELIVERY OF VARIOUS MEDICAL

EQUIPMENT REBID IB2021-0 18BPROCURING ENTITY BIDDER'S OFFER

BIDDER'SSpecification as Technical Offer Specification as Technical Offer STATEMENT OF

COMPLIANCE

1TEM 2: VOLUMETRIC INFUSION PUMP Fresenius Kabi INFVP7S-ED3Volumetric ComplyQUANTITY: 10 Infusion Pump 232099611'5APPROVED BUDGET FOR CONTRACT: 700,000.00

ComplyTo facilitate accurate administration of patients medications at inPediatric Building fourth (4th) floor.

TECHNICAL DESCRIPTION

Class I and internally powered equipment, Protection against leakage current: CF type. ComplyDefibri i1ation-proof type CF Protection against electric shocks: class I

ComplyCompliance: Standard/EN 60601-1, ENapplied part (according to IECIEN 60601-1) Class 60601-1-1-1-2, EN 60601-2-24. Complyllb medical device Comply(according to Council Directive 93/42/EEC) IEC/EN 60601-1-2, IEC/EN60601-2-24

Comply

When not using the drip sensor 0.0110 1200.00 mLlhWhen not using the drip sensor 0.01 to 1200.00 comply

When using the drip sensor unt to 1200.00 mLlh (when selling is 15 mLIh

drops/ml.) 0.01 to 1200.00 mLth (when setting is 20 dropslmL) 0.01 to When using the drip sensor 0.01 to 1200.00mLlh (when setting is 15 drops/mL) 0.01 to

300.00 mUb (wben setting is 60 drops/mL)1200.00 mLIh (when setting is 20 drops/mL)

Drop settings: 15, 20 and 60 ComplyDose mode: iilL/h, ug/kg/min, mglkgfh

0.01 to 300.00 mLlb (when setting is 60Compiy

Flow rate: O.Olmllh (minimum)drops/mt..)Drop settings: 15,20 and 60Dose mode: mLlh, ug/kg/min, mg/kg/h Comply

Upper Occlusion alarm, Lower Occlusion alarm, Nearly Empty alarm,Flow rate: O.Olmllh (minimum) Comply

External communication function ComplyPressure alarm" l , Air-in-line alarm, Door alarm, Flow Rate Ab-

Upper Occlusion alarm. Lower Occlusion Complynormality alarm, Free Flow alarm, Line Empty alarm, DripSensor Dislocation alarm,

alarm, Nearly Empty alarm, ComplyExternal communication function ComplyBattery alarm, Shutdown Notice alarm, Power Pressure alarm"I, Air-in-line alarm. Door

Failure alarm, Re-alarm, Start alarm, Flow Rate Ab-normality alarm. FreeComply

Reminder. No Flow Rate alarm, No VTBI alarm, Completion alarm, ComplyLink Interruption alarm Flow alarm. Line Empty alarm, Drip

Sensor Dislocation alarm,Battery alarm, Shutdown Notice alarm. PowerFailure alarm, Re-alarrn, StartReminder, No Flow Rate alarm. No VTBIalarm. Completion alarm, Link Interruptionalarm r

t-'_-I :.:;:_c'~". ,-.... :" \.:\;• \, 1. j • ., \ • • 1

r~~r· ._~__.. _ _,.......~.__ ~

~--------------,~-----~.~

i I

PROCURING ENTITY BIDDER'.S OFFER

PHYSICAL -DESCRIPTION

Specification as Technical OfferSpecification as Technical Offer

TE-LF630/LM730ILM830/LM835: 120-260 mm (W) x110-140 mm (H) x 95-210 mm (D), approx. 1.5-2.0 kgTE- LF632/LM732: 230.260 mm (W) x 11.0-130 mm (H) x95-125 mm (0), approx. 1.O-2.0kgWith touch-screen and/or buttons that enabJes to quicklycreate configurations- Compatible disposables: universal infusion sets(with Free Flow Protection)

TE-LF630/LM730/LM830/LM835: 120-260mm (W)x110-140 mm (H) x 95-210 mm (D),approx. 1.5-2.0 kgTE- LF6321LM732: 230-260 mm(W) x 110-130 mm (H) x 95-125mm (D), approx. 1.0-2.0 kgWith touch-screen andlorbuttons that enables to quicklycreate configurations- Compatible disposables: universal infusionsets (with Free Flow Protection)

BIDDER'SSTATEMENT OF

COMPLIANCE

ComplyCompiy

Comply

Comply

UTILITY REQUIREMENTS

AC 100-240V, 50-60 Hz, Internal battery(Lithium ion/polymer batterylNiMH), Subbattery (NiMH)

AC I00-240V, 50-60 Hz, Internal battery(Lithium ion/polymer batterylNiMH),Subbanery (NiMH)

At least 4 hours (at 25 mLlh at 25°C with a new fully charged battery)

Recharging Time: ;::;8hours (when charged with AC power supplywith the power turned oft). battery can be charged to 80% in 3 hours.

At least 4 hours (at 25 mLIh at 25°C with anew fully charged battery)

Recharging Time: 2:8 hours (when chargedwith AC power supply with the power turnedoff), battery can be charged to 80% in 3 hours.

Comply

Comply

Comply

ACCESSQRLES, CONSUMABLES, SPARE PARTS, OTHERCOMPONENT

Minimum flow rate increment (when not using the drip Minimum flow rate incrementsensor): 0.01 mllh (when not using the drip sensor):M.inimum flow rate increment (when using drip sensor): 0.0 I mJlh0.01 mllh Minimum flow rate incrementWhen using an infusion set of 20 drop/mL: minimum increment of 0.01 (when using drip sensor): 0.01m~ m~When using an.infusion set of 60 drop/ml.: minimum increment of 0.01 When using an infusion set of 20 drop/mL:mllh minimum increment of 0.01 mllhInterval/intermittent modes. ml/b mode, body weight mode, drip When using an infusion set of 60 drop/ml.:mode,loading dose mode, ramp up/down mode,sequence mode, relay minimum increment of 0.01 ml/hmode. Delayed start mode. Interval/intermittent modes. mllh mode,

body weight mode, drip mode, loading dosemode, ramp up/down mode.sequence mode,relay mode. Delayed start mode.

Provision or with available clamp for IV stand to secure the safety ofmachine.

Provision or with available clamp for IV standto secure the safety of machine.

Comply

Complv

Comply

Comply

Comply

Comply

ENVIRONMENTAL REQUIREMENTSOperating temperature: O-SOC Humidity: <95%

Operating temperature: 0-50C Humidity: <95%

Comply


Specification as Technical Offer Specification as Technical OfferBrODER'S

STATEMENT OF'COMPLIANCE

JdW~~OCl!xE~I;ENT 5~C7'C'JN

12

DELIVERY Comply60 to 90 days from the receipt of Purchase

60 to 90 days from the receipt of Purchase Order. Order.

Before delivery, supplier must call the Materials Management Section Before delivery, supplier must call theComplyfor delivery coordination to avoid non-acceptance or delay in acceptance. Materials Management Section for delivery

coordination to avoid non-acceptance or delayin acceptance.

TRAINING, INSTALLA TION & UTILlZA TION ComplyEnd user's training in operation

End user's training in operation ComplyBasic maintenance

Basic maintenanceUser Care

ComplyUser Care ,.. ___ 1••

Safety and operation check before handover \.U"'II'YSafety and operation check before handover

'nq, ' . ..WARRANTY Comply

2 years warranty on parts and service2 years warranty on parts and service Prevention maintenance twice a year orPrevendonmamtenance twice a year or quarterly quarterly

DOCUMENT ATION ComplyManuals and brochures for use

Manuals and brochures for use

SAFETY & STANDARD ComplySafety certificate from a competent authority

Safety certificate from a competent authority CElFDA (US) ISTQC CB CElFDA (US) ISTQC CB certificate! STQC Scertificate/ STQC S certificate or valid detailed electrical and functional .certificate or valid detailed electrical andsafety test report from ERTL. functional safety test report from ERTL.

/flf'l

MICHELLE, LORAINE G. SANVICTOJ~S - GROUP SALES MANAGER


13

PURCHASE ORDERBAT ANGAS MEDICAL CENTER I ,

Supplier: S'..'NERGY AND COLLABORATlON DISTRIBUTION INC.

Address: Unit 7 Bile I Lc)[ 50 & :'i I Jubilation New Bifian Strip,

. Barangil) Zapote, Binan. Laguna

21-12-0420P.O, No. --------Date: December 16,2021

TIN: Mode of Procurement: NP - EC--------() 10- 1"18-903-000

( icntlerncn:

Place or Delivery:

Please luruish this Unlce the following articles subject to the terms and conditions contained herein:

Delivery Term: NO P.O., NO Acceptance

I)atc of Delivery:

Bara ngas Medical Center

10 calendar days upon receipt or P.O. Payment Term: 30 days upon complete delivery

Stock/Propcuy

No.Unit Description Quantity Unit Cost Amount

VI.ALTOCILIZUMAB 2I)IVIC/ML, 20ML-Tocilizumab 400mg/20ml (20mg/mll

(Total Amount in Words)

COI11()rrnc:

1,320,000.0060 22.000.00

Bata:1gas Me:':c." I CC:"\0f \-

cor. SSION 0;' c..uutT i ~~EC~~r CD i-

Rosali ~ligaya 1 ..~\~i~e _5~1/~:/~;I~~I J-.; , m: ,/// _ -111118 y.....,..

- !-

TOTAL 1,320,000.00

One ru illio n t hrec hundred twenty thousand pesos only

Very truly yours,

111case of Ia i lure In make the I'll II del ivery \\ ithin the time speci fied above, a penalty of one-tenth ( I I 10) of one (I) percent forevery cia) or delay shall be imposed on the undel ivered item/so

d ]'~Ii='l IrVgc. MAGNAYE,MD,FPCS,MHAU \81 ' 1~dical Center Chief ~ a DEC 202'\

'1 n r- ~ '-John Michael . Barawid U '( s : .----+------~BI yL..:: .... <J U' 1;.... ;'-<f'j0 -r'MSignature ov r printed name »fSupplier

Date December 21,2021

\ '"

Date of the ORS/BURS:ORS/BURS No.:

1,320, 00,00.A.mOLITlI:

-({C(J

/d../ J (, I~~('------------ -.L -_-____J

'I I

DOH Government Accounting Manual

PURCHASE ORDERBATANGAS MEDICAL CENTER

Supplier: NATIONAL FOOD AUTHORITYAddress: Balagtas, Batangas City

TIN:

P.O. No. 21-12-0419

Date: December 14,2021

Mode of Procurement: Agency to Agency

Gentlemen:

Place of Delivery:



Stock/

Date of Delivery:

PropertyNo.

Batangas Medical Center

Pick-up Payment Term: Cash on Delivery

Unit

90

Descri ption Quantity Unit Cost

SACK 1,250.00NFA RICE 50kls

\..) TOTAL

(Total Amount in Words) One hundred twelve thousand five hundred pesos only

In case of failure to make the full delivery within the time specified above, a penalty of one-tenth (Ill 0) of one (1) percent forevery day of delay shall be imposed on the undelivered item/so

Very truly yours,

Amount

112,500.00 ..

-

-

-

- .---

,,~

-

-

-

-

-

-

--

112,500.00

,.

RAMONCITO C. MAGNAYE,MD,FPCS,MHAMedical Center Chi f II 1 2 1

Con forme: _~ J---:i1"ltJb.c..yP_--=--_-_. ~_~__::ItC~=~-+-r\J..-_Signature o¢printed_ n.al11e_~upp~r

Date (_ ~e<-. ~2\Fund Cluster:Funds Available:

~.

cJl ORS/BURS No.:Date of the ORS/BURS:Amount:

OR' 101101-~0'lJ-1~- 6lJl).£o

1~1912j1/~([Qo·oO

?:i'CARMIF~O,CPA

"JttCUuntant IV

112,500.00 .


,

IPURCHASE ORDER

8ATANGAS MEDICAL CENTER- ---. -, ,- - _- --- - ..- -

BATANGAS C1TY REAL HOTELSupplier: CORPORATION P.O. No. 21 ·12-0418

Addres.s: Pastor Village, Patlocan West, Batangas City Date: December 14. 2021

nN~ 004-726-324-001 Mode of Procurement: SVP

Gentlemen:Please furnish this Office the- fOllowing articles subject to the terms and conditions contained herein:

Pface of Delivery. Batangas Medical C-enter Delivery Term: NO P.O" NO Acceptance

Date of Delivery: 7 calendar days upon re<;ei¢. of P.O. Payment Term: 30 days upon complete delivery

StookIProperty Unit Description Quantity Unit Cost Amount

No

Food Venue and Accommodation for OFCMlot Practice-Based Strategic Pfanning on OErvember 1 83.750.00 83;150.00. 18-19,2021

I I fOr Oec;ember is. 2021

AM Snack: Choice. 3 - ------PM Smick; Choi:r;1'(J2 !i Batangas MecJ:~,,1 C'?!-lil'r -ILunch: Filipino N l COMISSI )~'JO~\JA.UDIT, IDmner : Filipino i ! REC

~.

Ifor December 19, 2021

Breakfast good fof 10·15 pax only for those who will By : - ~ A :.

I ~ ~l'llfl1IXi~ted QVwnigtlt: CMi(:~ 14 ll;'lte 1)./17J..zo.(TI!1\~

,te :.('2..

JTOTAL . $3,750.00

(Totaf Amount in Words) Eighty three thousand seven hundred fifty pesos only.

In case otfaHure 1:0 make-the full defivetywithln the tiffie.specffied above, -a penalty of one-tenih (1110) of one (1) percent forevery day of delay shafl be imp~ on the ufl{.leltvered item/so

Very truly yours, /'

1/'--./

~Jk: ~' c, MAGNAYE,MD,FPCS,MHA. ~'"'J. ,t Center Chief It _ "

Conforme: " rJl:~J~~1 ' 'I

9kll'lotu,.0 ovo~t9d name of Supplier ~.::~::~~:::~i~-"~O;te j21r1~1

fAV

QQ~IOll'(Jt-~I- !Q;~Fund Cluster. ORSlBURS No.:FundS Available: K2,1Qr. kV Date of the ORSIBURS: t!Ufiu{.>f

..-;:;- Amount: 83;750.00

CARMINA ~~~.CPA

~J1ioddAcCO'-.l,"rtanfiv

Republic cf (he PhillppintsJiHoallh, Center for Health D.vdot:une.nl.tCJiIl,) LV-CA

»ATANGASMmn~ALCE~~Ra arangas City

ISO 9001:2015CERT1FIED

ZO::-1_

JOB ORDER

CONTRACTOR /SUPPLIER

ADDRESS

TIN NO.

CHEMPRO ANALYTICAL SERVICES JOB ORDER NO.21-12-0417

[2 F - 3 F PI Bldg; 131-135 shaw blvd., Oranbo, Pasit city

![005-010-304-000

....,~------,I

PLACE OF DELIVERYBATANGAS MEDICAL CENTER

KUMINTANG IBABA, BATANGAS CITYDELIVERY TERM !iQ JOB ORDER

!iQ ACCEPTANCE OF DELIVERY

DATE OF DELIVERY PAYMENT TERM60 CALENDAR DAYS FROM THE RECEIPT OF JOB ORDER

PROPERTYNO·.

PROJECT- DESGR-IPTWN- QUANTitY- UNIT-

RAW WATER ANALYSIS

TERMS AND CONDITIONS:

.1. Frequency: Quarterly.

2. Total Number of Raw Water Analysis: 25 test/month(Please see attached location of sampling points)

3. Additional 3 test on each sampling points per monthin case initial test fails and need to conduct retest aftercorrective action is done .

.~~P"axam.e.te.r.s:.a. Heteroptrophic Plate Countb. Thermotolerant (Fecal) Coliform Countc. Total Coliform Count

5. Result: Within 14 days

(TOTAL AMOUNT IN WORDS)

In case of failure to make the' full deliverydelay shall be Imposed on th~ (Jr't'CMIiv.eted:

I DATE; .I-£'j,_.".L-. _

1

UNrrxos:r

lot 1,190.00 357,000.00

bove, a penalty of one-tenth (1/10) of one (1) percent for every day of

Very truly yours, rv-RAMONCITO C. MAGNA YE,MD,FPCS,MHA

Medical Center Chief II

16 DEC202Received order and hold myself binding to the conditions stipulated in thegeneral and speci~cjJiI9D~ 9f tt)s!~JQf~ass Proposal.c.O.nto.rme.: 'M~

Signature over printed name of SupplierDate 23 December 2021

Fund Cluster:Funds Available:

300 samples (25samples per-

month)

!j

.1

I III Il~

TOTAL AMOUNT 357,000.00

Effective Date: October 07, 2019

Rev. 00

PUHCHASr: ORDERHi\ 1'.,\1'\(;.<\S rVIE1>1<:;\1.. ("[~NTF:I~

1',o. N (I. __ .::.2.::.1-_Ic_:!;_.-.::.0.:.'<1.::.1'::.).__

nale: December I), 2!).~i----------~"l'pli,'I: !~~~:~~~~\'IE()IC,\LIN'(_. __ . _

!\ddn':-~: l~ __I~~.:~_~~~:.!.:~~:.~~~..l\'o\~'L'I'.~ .!_~:1;gl.It·~~~~.:. ..__.__ . _

~rt;)!n~~:~~_.::._~:~~~_l_~I~~__ _ . . _

TIN:

('clllh.:mcll·

~~(1-774 (>X 1-1)01)')---_._---- ------ -_._. __--- -_- - --,_-_,,---,

1'1;'11.:'"01 Ih:li\:,~ry

I)al,' ,II I.kll',~I\·,

_~lnt;\~J0s_Mc~,~_('<:Il,~ _

A" fltl:J .11 i~t;':--

Delivery lcrm. NO r,o ..NO Acceprance

l'aYl11enl Term: 30 d!ly~ "p,m complelelklivcry

I t 'l.~(\I'CIl, PLjlcla":'ilk: t:I·,I...,,'dltllH) .... i .\Lob'\~idlli (a:,

1 .... ,~IH!1111,I~'. ~1)(Jlllg r··...·!I\.'I 1,Ir Irllt.',tlj,")/l {I'.'J, Singap';'Ir.:.·

il'h.1I111il\'~.dlill if,·~ 11.·11·'(·v. 111(.'. I'hilll'PHll~". II",P 1 ypt~ I

1'1,:1 " JIll rubbvr :;1, 'I'~'I dud Ih:.llI hluc nip "t"! ;.c,d·, 2

i!IL·',!"I.. .',,,,,., Iilnll dlli"'1l11\\,,h'r 1,:"1111",'1:",",.,11,,, "i

I

I!f\"J[C:~!'l(',t-.~ '1l1:lc::I, II,.,,:foi pwing if :\ppli..:at'k upon dcliverv,:(,'.'U lIf/(lc/IIJ1eJlI I" 0 «ccepnnu:« '!f tlctivcrv)

t. _','/iii. til;,: \,i" I', ,dll\,:r 1~""~IS!ralil)fl rrl)lll FD/\

-"::i::~J ,-:~] ------- ---::~:I)~~,·\--------I:"lIil)

--- -t----..--- IP1PFI{TlIWN. I'.H.{) ll;\ r : 1',\~1.I(;~ r --l-----..j------

II PII'U{;\('II.I.1N, suo ,\,1(,·1·\Z()Il;l(·TJ\~II.'\S

~OI)II ~'ISALT)I f'LI( \\.\1,(1" IN"l'')IO,V,

I_. __ .L _

UnilCoe.1 ..vmoum

I 17.0;:>.1I1i

..__.""".__""._" . (_:_I(,\NU TOT" L L____I_~7~:~5.IHI_..__

Flind ('111',1('1"

O,H' 11dllilrtd ,,'\'l'lIl('I'1i lhlJlIS~fld nine hundrct! I'Hllly-live P(',O$ only

In =';;ISl~~irL)ilnrl' In 11"1;:\!' dIe I 111deliver \\ ithin the titl!~· :"l/ll'l·;ncd ~'-'OVI:, ,I PI.·l)c!lty ," ~lne"It.!llIh (\110) oi one (1) perccm I','I\'t",II,:ry d:l) \,l ddil~" ~!I;dl tIl: 11111 -o .......d on 111(? Iill!...·liv..:f\:d Itl~lr,"'s

cQJi{'-1'l'lnlr}<)rE~.>1C> ,j~ ):> Dl'lvn:.;..,- ~..- -'-~-~----,-----------'

Il.!\M():$·ITO C. i\IACN/\ YI':.MllYI'CS.!\·lHi\ivt..:dl\,::11 l 'enter ( 'hicf II

~~if~ll;ill.lll: '~I':I ~"Ii!:h..:d Inillh' (If .,upplil..'l. __:LJ.::.c,"<' \~c.. ~.2{_. -.- i

ORS!13URS No. __:_'_' _........L...:.. , : __;~'i

f)llt<.' of Ihl~ (.H{'S:'HURS.

Amount: -------------------~~~~~

,-:,

L.. .,f{ I\'} 1" ,\ ( . C A"" ILl '_O_,(_'_P_-\ /_:_-'- __ J.___ -:- "__ --:-_~;..__:_-,,l.v, l.!1111I1,:I1\ ; \1 J

, I 'it .,:; P~\gt' ! '!

DOH Governmenl ·\cC$unlIllG Mallua!

.; PURCHASE ORDER

BATANGAS MEDICAL CENTeR

Supplier: SOUTH80UND COMPUT&R CENTER P.O. No. 21 -12-0415

Address: Maptan bldg. Pallocan west, batangas city Date: December 13, 2021

11N: 3'OO-{j1 r .556..001 Mode of 'Procurement: SV~

Gentlemen:Please fumish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery: ~nga~ Medical Center _ Delivery Term: NO P.O., NO ,6.cceptance ,

O-._ .....,f: 1"*'\"",,-,--,. 7 calendardai~ u~on receiRt of P.O. Payment Term: 30 days uQon com.QLet~deliverL .__~CllCl UI I.II;IIIVClI y.


No. , ,

1 TB Toshiba HDTB410AK3AA 2.5" Basicpes. ,External Hard Drive Black 2 2,650,00 5,300.00

.- ----...,~ Batangas Me ~ir:al Cer)I~'rI C OMISSION ,ON AUDITt

i

RECE VEO~ .. '

Rosa~ >(.)J,ri :"~IJI\\. T':'111 .,~.-

~ J. le -""'r UI 'In laJ') !l/

'I, 1'8 ' 1l.:{)K' -I

TOTAL 6,300.00

(Total Amount in Words) Five thousand three hundred pesos only.- .... - --- -_- .. ,,- ~- ..-' ....... ..- - -

In case of failure to,make the full delivery within the time specified above, a penalty of one-tenth (1/10) of one (1) percent forevery day of delay shall be Imposed on the undelivered Item/s.

Very truly yours, ,/VV'

~ e. MA6IIAV~IIj).i'I'e!j.MNA

~J_~R"'" (?O"-' ~ • let Chi f II~ (.._;;j '-' ~ I lea en er e

ConfOffi'l.e: Camille 9 n , f)::~' 1. 202'1 I 1 4 DEC 2021Signature over printed name of Supplier

6Ci: ____Q--JJ:-fl' I\MDate 12/20/21

o.r- \jb"-~'13~ ~/-(2..ct:w(FUM Cluster=: ORS/BURS Nb,:

Funds Available: ~?,nl 00 Date of the ORS/BURS: n~r 1J '"I?1U_" Amount: - W.1lJb-:OO

CARMI~~PA <kt;~r ~ Ittl "J.rJ'JI

.DOH Government Accounting Manual

,

. PURCHASE ORDERBATANGAS MEDICAL CENTER ,

iupptter: SOUTttBOuND. COM.UTER CENTER ,.0. No. 21,1_12-0414 ,

1

'ddress: Maptan bldg~ Pallocan west, batangas city Date: D~cember 13, 2021

rlN~ ~OO..o1r-~-601 Mode of Procurement: SVP

Gentlemen:Please furnish this Office the following articles subject to the terms and conditions contained h~rein:

Place of Delivery: Batangas Medical Center Delivery Term: NO P.O., NO Acpeptance

pate of Delivery: 10 calendar da~ uJ:!onreceiJ:!tof P.O. Payment Term: 30 da~s uj20n comQlete delivery: I-

StockiProperty Unit Description Quantity Unit Cost Amount

No

pes. Verbatim USB full HD 10S0P WEBCAM 2 1,300.00 2,600.00

-- --------E atangas Medi .1 CentN

;N AUDIT..

CC~MISSION(

, RE9s~~(£~9afl'y : SAll}odit T ~ember

I I" e . (12,121 IJ 2])1.1IIII e JJ:rfI

TOTAL 2,600.00'

(Total Amount in WordS) Two thousand six hundred pesos only. ..In case of failure to, make the full 'detttery ~in the time specified above, a penalty of one-tenth (1/10) of one (1) percent for

every day of delay shall be imposed on the undelivered item/so

Very truly yours,

VV'RAMONCiT'oe. MAcmAv£;M&,FPC!.MHA

fta~~ IT 1",'"~ ~~, d6 DEC 'Ill'Conforme:

~ '-'" ~':: ': ~, ,....!!1~ cal Center Chief II. i I

Signature'over printed name of SupplierG;_~(1 ZOLl r

Date 12/20/2021 B :----- ~--u.-·,-rp('t": ..Fund CIUSlet. 0) \_

ORS/BURS No.: 00- t o\IOI'!202l- 12-tool!lFunds Available: t')f~f.nof) Date of the ORSIBURS: I 1a.lI~V

CQ.---- Amount: , 2,$10.00

,CARMINA~snIIQ~~f\[email protected]'nr nJ?~ 4rvu 1~~W ~f IL' ·'fl-*~.J.l- ..,~, DEC I 4 2021 .1

DE.C '1 !f 20~ DOH Government Aiccountinll ManualJ L:l\.JL.:} U U L::a.:,...

--J UL.::JVbu U f"1,

~ - PUltCHASE ORDER ~~BAT ANGAS l\1EDICAL CENTER

Supplier: TECHNOMED iNTERN-A. TJONAL, INCAddress: 4/F MEDECOR Bldg., Ortigl:ls Ave., Greenhills

TI='I:

P.O. No. 21-12-0413Date: 09 December. 2021

Mode of Procurement: .l'JPEC 2021----~~~~--~Gentlemen'

Please furnish this Office the following articles subject to the terms and conditions contained herein:Place of Delivery: Batangas Medical Center Delivery Term: NO 1>.0., NO AcceptanceDate of Delivery: 60 calendar days upon receipt of P.O. Payment Term: 30 days upon complete delivery

Stock!Property Unit

No.Description

set BIOSAF'ETY CABINET TYPE II A2,3FT.

Brand:H!UHA, ....'f.;


~ J- __~ L-__~ __~~~~~--~~~~nfl~~TOT AL 550,000.00

(SFE A7TACflED 'lECHNTCAI, SPECIF!ATfON y

Not«:

Please ettecn the fOuowing If applicable. upon dalivery

( NO attll(;:hment NO acceptanoe of delivery)

1 Certificate of Product RegIstration (rom FOA

2 Cer1Jficate of Good Manufacturing practice from FOA

3 B81cf~ Release CetTrficale 'rom FOA

550,000.00 550,000.UO

(Total Amount in Words) IFive Hundred Fifty Thousand Pesos OnlyIn case of failure to make the full delive . within the time specified above, a penalty of one-tenth (1/10) of one (1) percent for

Very truly yours,

Fund Cluster: -- "tJ iOR"S'JIrll'ltS No.. i., '_ _;';.,I..,.....,._--:.';-':...{ (.Funds Available' '~, ' Date of the ORSfBURS' \< I ),1).

Amount 5_50-',_00_0_._00_C RIVllNAG CA~T1LLO,CPA

Accountar: IV-((f /1

1.),1 )(,7 xOI - "'\ !......-~..

DOH Government Accounting ManualPage 11)( I


,

.pplier: BATANGAS CITY REAL HOTEL CORPORATION P.O. No. 21·12-0412

:ldress: Pastor Village, pallocan West 8atangas City Date: December 09, 2021

004-726-326-001"

IN; Mode of Procurement: SVP,

enUernen:Please furnish ~hiSOffice the following articles subject to the terms and conditions contained herein:

IDelivery Term: NO P.0 , NO Acceptancelace of Delivery: ~atangas Medical Center - ~

ate of Delivery 9!ecember 12,2021 Payment Term 30 days upon complete delivery

StocklProperty Unit Description Quantity Unit Cost Amount

No

fOOD AND VENUE FOR DFCM PRACTICELOT BASED IN SERVICE EXAMINATION ON 1 38,750,00 38,750.00

IDECEMBER 12, 2021

7:00AM - 2:00PM~ Venue: 2 Function Halls shall be fully

airconditionecl; 8 tabfes with 4 seats per hallgood for 38 pax ---With Technical Equipments and sound system. Batar~(as ~t,jiral Center

100-200 M8PS internet connection cosu ~ N 0;\1 AUDIT

Projector and Projector Screen R,. E~VED 'Food: With overflowing coffee By Q to-..

, AM Snacks: CHOICE 4 ! r. i~f1 . \ 12UO 1,2))21 •

f_L Lunch' FIUPINO P i I IlIll~ 1 I q:~\ -PM Snacks: CHOICE 24 -

Good for 38 pax \TOTAL 38,750.00

(Total Amount In Words) Thirty eight thousand seven hundred fifty pesos only.r-~

In vdse of failure to mte the full delivery within the time specified above, a penalty of one-tenth (1/10) of one (1) percent fa;every day of delay shall e imposed on the undelivered item/so

Very truly yours, j./ \y-V,,

RAMONCITO C, MAGNAYE,M~,FPCS ~~,?0

tonforme'--_//~lx!1vvc.-:1{\~ Medical Center Chief II 1 0 0 .2\

fIiA K-/ Pt . L~ ;\ tV\ c.A-"t- - G~-i'Signature over printed name of SupplierDate D~C Ie , 1(2.\

I.

~und Cluster: 01 ORS/BURS No.: op. -IPI {of- ;).0:1/- (2-0000!Funds Available -:;9. ~~'l;h~4'1\\ (lDr.:\ Date of the ORS/BURS: nr·(·, '1 "

I....v-' ,t"' , ' ." /! . I

- !I 'IJ I It. I I 'I " ! P I Amount'1 _..

38,750,00j /r: ... -, II u, .: - _J. I

f IrUr:::~"~;-'n n ~ '_£ \ \' I\_, 'I \ I\,.!)~ ".;\. ,. '.R. I~ ,'CAS'r L.LO,C.PA iJU;. ' I

i', ';


"

Supplier: BIOMEDICA HEAL THCARE, INC. P.O. No. 21-12-0411

Address: G/F Piedra Bldg., 1174 Chino Roces Ave., Date: December 07,202 I

Makati City ·-TIN: 002-134-204-000 Mode of Procurement: PB August 2021

Gentlemen: · .


Place of Delivery: Batangas Medical Center Delivery Term: NO P.O., NO Acceptance

Date of Delivery: As need arises Payment Term: 30 days upon complete delivery

Stock! ,_ ..Property Unit Description Quantity Unit Cost Amount

No.0."

ADULT/CHILD HIGH FLOW CANNULAPIECE -Size.Medium, Weight:40g, Cannula Size:5mm OD, 25 2,000.00 50,000.00

Flow range: 60LPM · ,

di,el cen~~--\. · '

Batangas M "

( Oi'/1ISSI0~ I O!\l ..\UU1T

REC~q'Q \ .. -, I '.J. ~. .......

Note: e . j""RosaJi~'Please attach the following if applicable upon delivery p, : __ SA\j_A~

(NO attachment NO acceptance of delivery) t! <I ~ o:'~I Lm1U2ivK I , ..

I. Certificate of Product Registration from FDA \ fI~'2. --- I 7 4' I_.- :-~-j2. Certificate of Good Manufacturing practice from FDA


TOTAL 50,000.00

(Total Amount in Words) Fifty thousand pesos only ..

In case offailure to make the full delivery within the time specified above, a penalty of one-tenth (1110) of one (1) percent forevery day of delay shall be imposed on the undelivered item/so ..

-Very truly yours, rY

RAMONCITO C. MAGNAYE,MD,FPCS,MHA "

~'

''''/'261''261--1"\r (i' r 'f' "" -1dlcal Center Ch lefT! J 0 DEC ("?

Conforrne: E T''1VJ ""btl) 01 t\to ..~~ ........I-::l ~ \.J"_ I

Signadre over printed name of Supplier .1 .:'" ,- l 2021 ('(1.,J \\~~~~Date

Fund CI uster: 01 LJ .---~G--- ORS/BURS No.: ~rl-IO 1101-1J)~I' 1P,·(f.XblpD ~Funds Avai lable: ~.oJJ·U2 Date of the ORS/BURS: I;tVl QI :...

i

Amount: 50,000.00,_ ~.

CARMINA ~'CPA -c<C{JAc ou V f'JJ7/(f)Z1 c'"

~ page 111DOH Government Accounting Manual j

----... -'PURCHASE ORDERATANGAS MEDICAL CENTER

-Supplier: RHC-MDC CORPORATION (H,BCJ PHARMACY) P,O, No, 21-12-0409

Address: I(Be Corporate Center. Don Jesus Boulevard. Date: December 03,2021

/vlabang Hills Village, Cupang Munrinlupa Cit)

TIN: 206-4 16-1 3(1-()OOOO Mode of Procurement: SVP

Gerulcmen:


1)1:lceof Delivery: Batangas Medical Center Delivery Term: NO P,O" NO AcceptanceI 0 calendar days upon receipt of

I)al<: 01'Deliver»: PO Payment Term: 30 days upon complete deliverv--,

Swe 1-.1l'ropcl'IY Unit Des ription Quantity Unit Cost Amount

No,---,-, ,-I

[POETIN ALFA 4,000 IlJ PREFILLED

I'R[FILL.ED,SYRINGE.

SYIU'\iClE-Recombinunt Human I:rvl.hropoietin 'vVEPOX 2.400 l59,OO 861,600,O()

·1,()UllIU/ml Solution lorInjection (IV/Se) l ml pre-tilled gluss svriug« (130,'\ or I '5) single dose

---,I Batanga Mer:isal Center

coi-uss ON O1'JAUDIT

R~!~ED)

i.'v : SAl VI' ,l

NOlI':'. ·I~~ a /zeJ!JAJ.J.J

Please uuuch rhe following ifapplicabte upon deliver')' j 111113 'In:.3'i -(NO attach nient NO acceptance ofdelivery}I. Ceni ficate or Product Registration from FDA') Certificate ofGood Manufacturing practice from FDA

" Batch I{elease Certificate i'1'01l1 FDAJ, -.TOTAL 861,60U,OO

(I oral ,'\1l1()1111tin WOI'cis) Fight h und red sixty-one thousand six hundred pesos only

ln case of Iailure to 111:1kethe full del iverv w ithin the lime specified above, a penalty of one-tenth (1/10) orone (I) percent Iore\','r) (I,,::. oldcluy shall be imposed Oil the undelivered item/so

Very truly yours. V'V( U ~~~. MAGNA YE,MO,FPCS MHA. ,

~~S'\ '\)III'Ul'!1h'::

1 'Moe "I CeO ter Chief IIll 0 DEC 20z,r.;:::~1 2021 ,

Signature over;¥,ted name ofSupplier \ \ " 'r7J A-\'\Date r -13-~ I ev- k>~ ---_ ..... ..-.

I lIlld Cluster: 0\ ~ ORS/BURS No,: 0.2- LO/~ L-~-i---CrXOlhlnd'; Av ai lab!c:

-5t,(o\ t6 CD ' co D<l1<? o rrhe ORSIBURS: ;-< 0'7 ~,.

(~~'\ I ' --=j ( r~ll-,-I '1:\'\ : If?f' Amount: 861,69°,()() _

I, "" r=: ,- ~- .. ; C;\nj\ll~f~( t\S;'T)I:.,LO;e-PA' _,J J,:;

~~L' r,r-',(~ /, , ', ';, ,A. 'COUI1_L<tl1tIV, I I, ",---,-~,- '! 011

~i <Jet'{=, t_"T-,

! I ij '-,cV DOH Government Accounting Manual",G' , ,~

, ' - \ .. / ',1'" f._, .. ._..j, c., ~--

- _. - - - - - - - ....---- •• RR._

,----------------------,~J-----~----------~; PURCHASE ORDER: -BATANGASMmIeAL CENTER

SappHer: MEQ!=lNES DISTRIBUTORS. tNc.Address: NO'~7~eer. St. comer Sheridan 1550

Man~ong City .fnN: 219-0 ~"()14-000 Mode or Procurement PB NOV 2021~===~==~~~

P.O. N~ 21-12~-------1Date: 02 December, 2021

Gentlemen: !IPlease ~sh this Office the following articles subject to the terms and conditions contained herem:

Place of Delivery: !Ba1anp Medical-Center . Delivery Term: NO P.O.,NolA ce

Stock!,P.ro~rnr , U~, ~sptipti9n

No.

Brand:B.BRAUN

Ampunt

J set HEMODIALYSIS MACHINE

(SEE A11'ACHED TECHNICAL SPECIFlATiONS)

~etaasaattacb.~ foI/l)wtng.tf.~ upon. deMIJ-( lIS2 .u.chnNrnt ltQ ~ 01 de/IVeIy)

k f. ~ (Jf~ Retif~ fr9.!J1 Fe...; 2. c.rlificate of Good Mtlflufaciufing practice from FDA

i 3. BlItch RIllBaS(l CBttificate from FDA

2 997,789.00, 1,995,578.00

-' TOTAL - 1,995,578.00

In case offailurr to make the full delivery within the time specified abo, ve, a penalty Of';1ope- ih (1/10) of one (1) percent for; Vcry buly yours, ,-..j ,. .

i r-:) 'l' (~ ~MAGNAYE,MD,FPCs,MHA

Conforme: ~A(lElC)~LUETA i~;:(f'71 ~2~' ) 'if 0 DECZ02j. Signemre OVerp_trntedname of Supplier \l'- ~_I.F\ rI ..

DatCt December 16 2021 ::,c..t~,I.J I. ----\\·~atellBofu1hItSeORS/BNc5 ..~URS.. oo.\O\\{). r,;'~.. ':~FII~OOltq

\J IU' " l\§§b"\,\Amount: ~_.;;.:1.~99;..;;5.:,;..5_78~.OO.;.;'_'

' ..- ~.:o'

_.to

• ""

,II

.;4,·<I

, ,

DOH GovemmentAccounlmg.Mallua1, .l?q_geliJ of J

I

I·~~-+ ~_O_R_~ ~ ~

tn ~()f faili.trt 0 " t the Iun deli~ ~ithin. tltt'time ~fied above..b, penalty of ~tmtb (lIl".) or one (i) percent tor~ tLl)' of ~I«ll ~. ,mpos~dOil ~ unoeli~ m:m/s.

\' ry endy • ~J'.$...

.,.,~

Ii

t J.. 250

\P{casuttach the (()!klwlnJ lhl'Pli~e dfIOt'I: dell\tfley I'Nt)u/lllCJ1"1f,.tm' '() II.cc#J1lllft.CII 0/ d#IIV#I' I) .

1. Cimficn ofProdU(:Iltc,gtittltlOif fivn\ FDA}, C'M!t~ I.'IfGood ,~lflf'lM't¢ttce !!:om rnAl. Sau:b Re._e CV\ittwe from FDA

F.md C.lu$r'!Fmtd.$ AvaU4bfe~

I

'., ' - ~.. r '", ' '" '" ,- .",~ . " - - _. - ... .~- " . ..'_ ,_. - . ....... ,. - " . .. ' ~ " •• ~ ~ .~ u • _.. .,

,,___---.,. PURCHASE ORDER

JBATANGAS ME.DICAL CENTER

" . I- . -.

Supplier: \lG 4 GE TRADING DIAt;NOSTIC INC. P.O. No. \21-"2·0406

Address: No. ~99 Pulo St Bolbok, Batangas City Date: Dec~mber 04, :?0~1... ____• :X:_'IOOP:

UN: Mode of Procurement: SYPr. I

Gentlemen: I...

'\ '

Pleas~ furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery: \" '

Batangas MedIcal Center Delivery Term: _.,Nqp.:O" NO Acceptance\

_" .-- -.Date of Delivery: , 10 calendar days upon receipt PO Payment Term: 30 days upon complete delivery

Stock! I

Property U91t Description Quantity Unit Cost Amount.~ No. \ I

I ARTERIAL BLOO[:) (3AS TESrI

PC~, 1,475 675,00 I 995,625,00

Please see attached terms of reference

Baan(l a::;;;': '41-C~~"', . ';r\,j co j" 'i; c.' S iON r \)PI,U D! r \i

.... TI\""'\... I .• ' \

F,r.=~"""1\i}=n i'·~f.~t.hf ' L,,," ~

8\' ~-~--. iI/o.~'.2.o.21; •. I~F!

I 11111~1 4:.~ct _=-Ji_._._.

-TOTAL 995,6:ZS.00 .

(Total Amount in Words) Nine hundred ninety five thousand six hundred twenty five pesos only.

IIn case offailure to make the full delivery w!thln the time specified above, a penalty of one-tenth (1110) of one (1) percent for

evefY day 01 deftly shatl be fmp~s~d on tMe urideiivered itern/s,

Very truly yours, yv' .-

I)~I RAMONCITO'C. MAGNAYE,MD,FPCS,MHA ;,

\. . rJj'tlv\\,J\b.

v--cW\ v ~ Medical Center Chief II '''6'' ~"t.~IJE-t."t;_ ·bConforme: \[b1C~ ~\~6 o IAG~()~nC ()...)(;

Signalur ~ dyer printed name of Supplier.

Date 11 I'll 11

Fund Cluster: ORS/BURS No.: O.2-101JV 1-2i-/!J-I1()OO t/Funds Available: D13taof the ORSI8URS: jt; j D.2 (.AI

___k~'N~:~i{[n~Amount: 991;,625.00

r:rrr'~.'-', ..~ccountant I 1"\ .. -n'" .i\ \ ~o• , h ; \ .f11 P', ' '\J ',~\I_,r, _ ~ ! .......... ~.t1 \ , 'l iHI ..~ - -' ."." 1)OH Government A ccountlng Mu,)uui

-: ,), . ~~~:"""~'":1--::,-;'t

---~... ~.

--------------_._----_._"

Batangas Cit'}"ISO 9001:2015 CERTIFlED

Republic of the PhilippinesDepartment of He31th, Center for Health Development eCHD) rV.CALABARZO;";

BA TANGAS 1\tIEDICAL CEl'w~ER

SPECtFIFATIONS Or. ARTERIAL BLOOD GAS CARTRlDGEI REAGENT WITH PROV~SION OFANALYZER

l. OPERA llIONAL REQUll~EMENTSJ-...:.::..,:::..::....r::=:.::--=t=::~~=~=:7.~.:..:::.;=-'-'-"..::;:;-::_;_-;---------- ..------------_1I .1 I Two/(2) units and additional one (1) back lip

I Handheld / Portable analyzer/ TabletopWeight: Not more than 3 kg (including the battery)Size? Not more than the following ( W: 24cm / L: 32clllLH: l6cm) I

1.2 Pow,er input: 220V with back up battery 2-4 hours;Battery operated (rechargeable batteries with charger)

1.3 Should have LCD monitor display I

1.4 SilO~t1dhave I'iiinimtlm inbuilt me'l1ioty of lit least 500 measurements of ABG test1.5 Sl;opld have a USB port/ HlS compatibility that enable to transfer to external computer'1.6 I Should display English language for all yalues and instructions.1.7 Sho~lIld be user friendly --'.""-~._J_I ---j

~1~.8:--~A~nl~~~ie~n~t~~~vo~I~·k~il~lg~te~n~lp~'e~I~·a~tl~lr~e-~1~8~to~3~0~d~e~glre~e~~='e~lc=i~u~s------------ .__1.9 Demonstration of the unit is a must2, TECHNlCAL REQUiREMENTS2.1 I ~~~ridge typei reagent .t:.~e - can read essenti~1 measured parameters: pH, pC02, p02, Hcb3, BE, TC02,

ICartl'idge type - Reagent type

• Shelf life: Refrigerated at 2·1.0 degree • Electrodes for all parameters specifled.celcius until expiration date, Room • Waste container should be sealed totemperature at 18-30 degree celcius. prevent operator biohazard

• Provide appropriate storage of cartridge • Continuous reagent level monitoring withso that maintaining temperature can graphic displayobtain.

I-----+~----~--~--~----~--~--------~~~~--~~~~~---------------=--~-2.2 The sample volume for measuring all parameters should less than 200 microliter2.3 Should acceptheparinized whole blood (arterial blood)2.4 Fast analysis time- less than 5 minutes3. _ D0CUMENT A T1.Q_N3.1 User manual in English

I3.2 Service manual in EnSlish3.3 Manufa<;turer / Suppfier should have ISO celtification for quality standards.4. OTHER CQNDlTlONS . .4: 1 Service provider should have necessary equipments recommended by the manufacturer

l?l'eventive maintenance test as per guidelines provided in the service! maintenance manual.to carry out

I4.2 _Monthly schedule of corrective and preventive malnt~l1ance4.3 Equipment/ device/ reagent for daily quality control calibration 1

I.,

-, - ......... , -... ~......:--.__.., ... PURCHASE ORDER..,.,-.

BATANGAS MEDICAL CENTER,.

iuppller: PENITON TRADING CORP. P.O. No. 21.12'()405BIk 1 lot 7 Zabarte Rd. Ma. luisa Subd .•

'ddreas: Brgy.117. Camar1n, CBloocan CIty Date: December 02, 2021

nN: 771-302-133--000 Mod: of Procurement: SVP

~emtemen:p~ fumish thfS Offlce the folkWMg artideS subjeCt to the tetTn$ and conditions contained- herem:

:)lace of Delivery: Satangaa Medlca.l Center Oetiv8ry Tetm. NO P.O., NO Acceptance

)ate of DeliVery: 10 calendar Cays upon receipt of P.O. Payment Term: 30 days upon com~lete defM!lry

Stock!Property Unit OGscriptlon Quantity Unit Cost Amount

No.

pes. Flve (5t Layers Open Steel Shelf 6 8,000.00 48,000.00- Dimension: Height 1SOQ-19OOm• Width: ~95Om

~Diameter. 450-48Qm- Adjustable $helves

~ ~B anqas Medic t Center- Warranty, Sf)( (6) MOnttls CO 11ISSION0; N AUDIT

Brand: China

REq:~ ~~,;[iv : ,f,ljAu

I '.';~'" . J1JJ'11 'J."J:l.J- ~~I ' I i.J~CDlUIiGI

TOTAL 48,OOO~OO- .

:Total Amount in Words) Forty eight thousand pesos only.

I.ncase offaiture to make theMI delivery Wiu\in the time speCffied abOve, a penalty of one-tenth (1110) of one (1) percenttor'Ivery diayof delay shall be lmpo* on the undelivered item/so

Very truly yours,, .""r v

4~ JRAMONCITO C. MAONAYE,MD,fPCS,MHA

:Anforme:n~~n;I1~Jr'Ch~1I

~if<J r ~fm\~ IL':C 1 2011Signature ovprtnted name of SupplierDate 1,1... 11-. 2J 8 :-----\t---H~~1_~~.

01 \). O1.\m!O~ ;,t1). ~. em)=und Cluster: ORS/BURS No.:=unds Available: ~th2!d Date of the ORSJBURS: ~

~

IAmount: 48,000.00

CARMtNA C. " rJ:PA {JlD # ...

(~~~~(

Aca€.'!1-aDt-IV-- .c:«:

/ ~-.PURCHASE ORDERBATANGAS MEDICAL CENTER

Supplies; MERlJR ENTERPRlSES INCORPORATEDAddress: 3rd Floor Meriam Bldg., Ortigas Ave., Extension

Corner Riverside Drive, Brgy. $~. Lucia, Pasig City

P.O. No. 21-12..0404Date: 01 December, 2021

Mode of Procurement: PB OCT 2021--------1TIN: 007-478-526-000



Stock!Property Unit

No.Description Quantity Unit Cost Amount

1 5,98.0,000.00 5,980.,0.0.0..0.0set BRONCHOSCOPY TQ\VER(Adult & Pediatric Flexible Bronchoscope)

Brand:PnNl'AX

1

(S.EEATTACHE]) TeCHNICAL SPECIFIATJONS)

,--+------ ---_-_ -Batangas Mec ical Ci?!lld I

COMISSION pN AUOIT

R~o9·EI~~vr;>: SAI/~1n Member--=~~

II 'I~ ----_:_-!/ffL- ..

Note:

Please attach the fol/owing if applicable, upon delivery




3. Batch Release_Certificate from FDA

R'

TOTAL 5,980,000.00(Total Amount in Words) IFive Million Nine Hundred Eighty Thousand Pesos Only

In case offailure to make the full delivery within the time specified above, a penalty of one-tenth (1/10)"of one (1) percent forV'i?'Y truly YQur~,

U·r r; ~~N€ilC. MAGNAYE,MD,FPCS,MHA~ -- .....::J.L., 'v._ I ~I)l:~

Conforme: ;1t-rvic rruir~ A· fi:;tP/)tfI-~ [:: ,- 1 2021 ,Signature over printed name of Supplier II

Date I/t:.um/lt:?- I~, c/lo~1 r, v. \. J,; n '·Sl{ AYIFund Cluster: rn - 1\ ORSIBURS No.:Funds Available: cf'1~ ..r;(l(} ...:.I9t7 \J Date of the ORSIBURS:

~RMlN( __f .~..~nrr(1i)f?_flill1~. .. Amount:CA c ~ L:CAS'UJ ft,4 ,FA :0lV

rmcountant IV Of:. ( r ~'3if '

(J6- \01101-11.02.1'"(I-WD 101\ \}.ql7-1

5,980,000.00

DOH Government Accounting ManualPage 1of I

Repubfic of the PhilippinesDepartment of Health

TECHNICAL SPECIFICATIONSSUPPLY AND DELtVERY'OF VARIOUS MEDiCAl EQUIPMENT (REBID)

182021...016B..

PROCURING ENTfTV BIDDER'S OffER..

BtD.DER'S_,

Sp-edlltatJou as Tecl1nicaJ Offer S~if~atioD 8 Ttldtnic:3.1 Offer' STATEMENt OF,C.OMPLL\NCE

fTEM 4: 1 SET BROM:.ltOSCOP£ TOWER SYSTeM FOR I ssr BRQ;, CHOSCOP'E TOW£RjeOMPL\',SYSl'bl FOR PE.OIATlUC AND

P£DIAT~tCAND ADULT USE AnT T V"::1i'I" - .,.._ to '1'-

ABC: PHP 6))00,600.00 I

, "', ,., ' ~rstem lifters :duli'p lm4rhe-5'i~~ ,lIiflo'\'I'S for dtacllcstw e,n,$ U,elllpc;utic mllT.a~~nt 0[ iJlrway ~¢Olf .IDgii-ltli~ quality. CtmJ~ with 1& 1-'" __ .rnt --.... ."., .,_ "',"'" E§:--""""" ......

!C0MPI.V Imanagement ahln""y -.m.~de:; weh- as foref&n boliv asplratJOfl, C(;l:n~. ~ bfOll:dtCiScO~5Ilflll&'tt (lifter'mil~tvI! hemoptysIs. a:54J'IfaUOitPf't61i~.l1nd trauma. ThIs k.also . e .~cfcJJtllt'Qlmm andSll~_Mli~d i1f "._... in ......... ,:dr ......... ~...;~ ........ ____ ....."';'I.._~ _ Cpll1ialt ~tl:nelIL Tlut uJUll ;t

I-_ ...._ . ..,. ...., ...,:J.... U" !IoA", .... \o,_rV""""~'~" _~l"t3l_'_ ··-'-a"','·'·'I\ ~ ~•.,." (2rgoaotnit d.md~itr of'thecancer, OM oftht mort ~ mitllgn;ancles based on t~J it\e>d .. ne.. ~r()'l)d!OI(Opt':,tctikr)'OIl ~of eptUdDCLIIIThis (I~uJpl'llii kfor usa by aNi tl"ell)ec!j:JCl~~IlIt1., rv.'§¥,I~·¥e (dally ~ .Iml"l);etifately lii~rCi,"nrn". ,

mfl_~ l>~LON

1.Medal g~ hfgtld.rln~ tcf) rnanltC!l': ~11'.nd!o!!imedi-:aJ ~ 8D LCD mOt.lrtor with O»IPLY

IM\.It\ipl@ Wiw ~t<lnd ~ connKtors wllh SOt, HOMlJ- OVH1. inC MllMt ovtputdblpl.y port. ~tI:It' Sf. of 21 indles or bigger. Pn!felabfy. \vltb Ht>M1ovtput.

~ABATE VlDEQ l'ItOCES$Qa 'UNIT irOMPLY2. VJdeo...prOC6$!Of UIIit: ~to or int.tcd),. DIGITAl. 'UCOAbt"t-G ViA lISB ~~~1PLY~ ~~!~~_jl ~8'#\I'Jj.O.V$8. IJ;.tcllTSO iRtK fc'oHPt:y4. Light ,~t'lUtCD \ln~. ~N300'W OO»P1,.y

. Uiht Interyslty' 30l)lNfor .qnorJ bulb or oqlliwlent (for t£O or IcoMPl\'lltcmatlhl'of)~. SulQtlon uNt. rroo.l060 tal"'ll«llliY'llalU(}!2$- mmmHI) !coMPLYPump p~", go(4OOromHi Qr",ore.

·.

PROCURING ENTttY BtDD£R'S OFFER.- DlDJ>,ER'S

Sp«lfiwl,cm .5Tedlttltal 0 trcr S~nf:a~(1 ut~niul Om:,: STATEMENT"OIlc..".()Mlt~:s:CF.

mHtilCAl DED'i'rfO~

6.. PecifatJlc'ljld~ brolldlOSGO'pe. ~AUUCYfD,BO BRO CB~Of!co".lfl.)'P~,,"Al.EM>!1?fffftl

Dt~,'~f,),\It.,,,.~~tJ.t.llUDI~~d:l~ NT.LtMENT~11~m(b;mnei tMer cliJmettt of at least 1.;~1MI.~Ie «)flip·and dtIw4 lJP AM> DOWN ~Tr()N: 210Jl~~tloft1tllt1i ua' d~ee,1icltJ ofviewct W!~ ~()rV1EW~ll9.d~' ,1. AduLtW:Scc b~. ~OULT VIDEO ~NCRosroPE. ~Ml'L.yPl$1 ertct dI~ of ~ least SAmm wfth ~n)CtIt <'haMel IoJSTAL !N'D! 5.41ltll1diameter ,of It letlt 2rI'lm. Capablt of up.;mel dawn 811JUlotiQl with ~nmfE ClIANNn~ l.OmmUO* degree field oflliCWol'1llidet. ~ ANl>,DOW'N ANGULA nON: n,WfJ()

re·T~"'. 1U~n(WV'Il!W! ll()<k;r~

Clin aaom~ monitor, ,video prOtmSQl', IJ&ht lOurCC. and 'J"ROLLEY wrra l\VR !cOMP""[MIdlollunft. f;(f~ have ~ and whHllocb. lndllde$,utomaticvo-.s_ 1'1$U1Mol. 1»2.4O\t ACPOW" supply compat1b4t.

ACCESSO@E5; ~!.i!S.SPA1l! PMlS4~RQ)MJlON.BIf.f COMPLY

1..Cytol~'qfllsh 2,unfts. ~Iogy bfn~ Z oolr.s ic:'oMVLv ,1.a~· fQl"e~PIl.2 i,m·;s:. rm. ~luni15 COMP(,\'

~.~It bJ~ b4cd: a. unit. 'd.1t bitt Wodc t 'Wlit k;:ot.ll'L Y .

fNVJRONMEHTAl. MQutkE!4e1r$

Room temparatuft'l 1O.6O'C COMJ),L't'

P,EUYERY ~ DAYS FROM. THE JmC£JPl' OF ~OMPLY~UR.CBASE ORD"tR

3D~ ~ d~s from the retaptCif Putmaso 0tIW.l!ri?if~-ttw unrf"~ n<ltvef ,ay~. supplier must (\J~ is J,ilfViea unit.f:altln to pf9Ylde ~I~ -:~;lic;;1\i1y wrmlnat~ the oo;\~, en dd~

to.otlw,·pe(1;jl~Plllleab!1!.

~ d~l~. ~QPpllerm~stCl. th~M.1tl',qb ~~l1t5ealorlfur de~~.rv qOOtdm.lItlon to a~ IIOl)-acc-eptana! ·or aelS'i iii

~tlQl.

TlWt«Ni,1mAllAru:tN &'UTUJ2ATIQ!"IlI;\!I'STIah1fUf !l'f~(iciit,~ru •• "a~i!d C<»;tPL'Vjpenonnd to aWnWil·dle equlpnElll.. 'J'Ktl1l2 oj

Th9 VliMl~ iirovlder she:i1e.11W e t~ .",.lliabiUty elf que4iflH ~1'I~l\Ph'" cquipelMt .pr'l(Ir to Jl~crc Is: w.vnntc:d!wi_fifed by bOth ~rtie$

I• _,,~ ,~Iital<d trained~~RIW{ w malntilil:tli~ i!qiJl~li. le~ Of Ole

1I'IIJUipment p1'lor to 8~pbl~ is ",..,..,.ntvd tnessed bV both ~ftie~.

n,. ~~.1: "err;) l~

PROCURJNG ENT1TV 8tDDEffS OffER-i 8lDDER'S'

S~jedtkstiim a:$ Teclut.kaLOlt$ Spocifiatioo lISTE£ludca1 OrJ'er sTAr£'~NT 0..-COMPl.lANCB

WARRAN1Y~-

fCOMPLY

Shlll~bm the !dleQule of oott*d:t ... mili~1'li11lG!upQI'I f~iI~ offag~~·~~ntNe M!!JtU!1lI8,,('.O;Atl!&isttwfGe a \tHf ~Tl'£AST TWfC&AWAll !cOMPLYCillimtioQ: At l$ast'twke aytlllf' ~TLRASTTW{CE~ ''EAR ~(jml.VWt!JITi~ $'1' t~~t1Yea:!' Oll ~rts aM .seNI~ YEAR ON PAllT: ANo SlRVl<;BS iC~MPtVSCtI"lliQj Uf1ft ptovh5ed 11'1ClUe: Qlunit ptllloutortep!iI'. PROVIDD IN CASE OF PULL om on CO~WLY

REPAIR

DOruMENTAllDN Fe """"JeALS "'D BIlocm,'Rl!.S t::OMPLV\ BE mo\'10'W &Y THE S()'J'-pumt

. ()N TESrfNG ANI) AC(EPTANCP. OFOpqr.rq maoo,als1NId~dluru "".IIIbe prO'flldedbt tfl. suppii.rrlJPO'l! HE "EQlJIPM1!!\'1".te~ ~ itteptaoce ohM lI.qulllm.nt.

[SAFETY & S""',' .......... ~ PROVWE ~~TIFCATESO.F' COMPLYIN'fE'RNA1tONA,I.,.$TAt\l)ARDANJ)

SI.I~ to prOYlde1l1temrtionalstafldard and re~ty if.P ml iREGtl'ItArOtiY APPRO)'ALt<;BR'llFlCATBS OFTltt

<l.e~ wthe produc.tIeqtljPmen~· IPRODUCT/£QtiWt.fi rr

M£iM,~rtfUNADO

(SgtJJ EIJZJiNrH V. IW.1JIES, MO, FPAAFPPS}(jj$P

iAC Cbalrml1(l

NtERV1 Q.USAlES

47

.:


Supplier: NRAM CONSUMER GOODS TRADINGBlk. 81 Loti7 LaSPaIiii'a'SSubd. Cay Pombo 3022:S=ta.

Address: Maria, Bulacan

TIN:

P.O. No. 21-11-0404

601-662-404-000

Date: November 29, 2021

NP-ECMode of Procurement: --------1Gentlemen:



Date of Delivery:

Stock!Property

No.Unit

PIECE

10 calendar days upon receipt PO Payment Term: 30 days upon complete delivery

~'al. Amount in Words Twenty nine thousand two hundred fifty pesos only.

r=In case of failure to make the full delivery within the time specified above, a penalty of one-tenth (1/10) of one (1)percent for every day of delay shall be imposed on the undelivered item/so

Description Qty Unit Cost

FACE SHIELD, GENERIC, GARTERIZEDFACE smstn WITH FOAM 5,000 5.85

._--------r-----~-'=-~+--~~---TOTAL

Amount

29~250.00

29,250.00

Very truly yours, ~

RAMONCITO C. MAGNAYE,MD,FPCS,MHAMedical Center Chief II<:«:

Conforme: r'~ JtI-'"-1lff ..Signature over pt.tnted name of SupplierDate /!-?o, -"? I


n)

r2 9 NOV 202

ORSIBURS No.: {);l-Jf)Jlf)/ ..()I-I/-ta><...i'_Date of the ORS/BURS: Jil.;?q louAmount: 29,250.00

yeP:~· ~\,. /I ~Y4;yj

----------------------------------


CARMINAC.Acco

'~l W,CPA "«fJ.Ltant J II}jjtjV"l( I

~'.

- PURCItASEORDER ---BATANGAS MEDICAL C~Nl'ER

Supplier: PHILCARE PHARMA INC. P.o. No. 21-11-0403Address: #3 Mahog~ St.., Agapito Subdivision Date: 29 November, 2021

~Alonl~s Hia!!w~ Santolan; Fasig ('.it)'TIN: 007 ..502--646-000 Mode o.C.Pmc:urement:. NP-TFS.ocr 2021

Gentlemen:Please furnish this Office the foUowing articles subject to the terms and conditions contained herein:

Place of Delivery: .BataDgas Medical Center Delivery Term: NO P.O., NO AcceptanceDate of Delivery: 60 calendar days uEon recei}!t of P.O. Payment Term: 30 days upon coropJetedelivery'.


....,-l"'lJ.

1 units TARGET CONTROLLED INFUSION PUMP 4 150,000.00 600,000.00

Brand:Mb"DCAP1'AlNS 1'Cl PUMP W1:t'Hres

..;'<,

(SEE A1TACHED TECHNICAL SPEC1FIATlONS)

_--_.-_., ....-_.-._ ...- _"- ..

~.~ ;.' .', :, TBatan9?1S

COr\JI"_ ',': ..~"\l ~. I ...~~....' II, --'

f~~:" ~: .~'1).... ..i C , ,-- r-,I i )-, ~

By ~-l2f~Please attf1Ch the fOtIowing i1applicabls. upon dJiJIiJIery L 1. I, '

(!iQ .-- !iQ -- at --.. 1IT:© IT: 'WI IT: ~ 1",,"g. 1

~, -- a..___..-w.

1. CertJfi.cafe of Product Regh;trlMion from FDA '2'_'_ofGood_,.__ ~::.~cq~:.i.....3. Batdl RMsu'CattiOcste from t=DA BY: ____ ~t_J.::-~~rM

TOTAL :600,000.00,(TotalAmount in Words) tSix Hundrld Tlwusami Peso« Only v

In case of failure to make the full delivery within the time specified above, a penalty of one-tenth (1/10) of one (1) percent forVery truly yours, fA--1

Conforme: 4fJtHI- vk.:r"''''P!PHY'RAMONCJTOC. MAGNA YE,MV.,.FPCS .."IrU-lA

29 '..t"'; ,

?l1?tr , ..J : ,_ .... ~. '

Signature over printed. name ofSuppiierDale j9---. 9-~

Fund Cluster: ·m ORS1Bl.ntS_ No ..: ~ ·4tlI!l).h~n!lt'D-~Fundi Available: (900{A'11' r{) Date of the ORSIBURS: ujJ.9'71s-: ;-.--"" a. _____.,,_+. .t:iVl ""' ....nt\

,,......-.... -,


TECHNICAL SPECIFf-CATIONSNEGOTIATED PROCUREMENT - TWO FAILEO BIDDINGS

NP-TFB No. 2021-005SUPPLY AND DEUVERY OF VARIOUS MEDICAL f!QUIPMENT

PROCURING ENT1TY BIDDER'S Ot=F£R

Spedfkation as Technil:Jll Offer

fT-EM 4: 4 UNITS TARGET CONTROllED INfUSION PUMPWIIllPAnElt'f. MH'i'imttEo Atw.G!SJAfUNCIlON.

TARGET CONTROLLED INFUSiON (I'CI)iPOMP WITH PATIENT CONTROLLEDIANALOEStA tP£A} f'UNC1-10NBRAND: MEOC::APTAlNS Tel PUMP withpeAABC: PHP 600,000.00

BIDDER'S,"'·A TF.!!rJENT OFCOI\tPLlANCl!

COMPLY

For a predse atlministratioo of Ol1ioids. intravenous anesthetics,-flnetl'O,fleS-aA€l:otbef.d~~HleE~~C~~KlM

preoperatively. intraoperatively and/or post--operatiVely.

Fo~ IIprecise IIdlllinismulon of cpicids.intravenous anesthetics, inotropes and otllerdru~tIim-~e <:000_111 iafu.~kms

preoperatively, intraoperatively )IIl1lf1)T poSf-operatively.

COMPLY

]lCHNIgL DESCRIPTION

:1, work on ~tjlndarcl c!isP.QSllple sy_rln8!!sof ~ml,_lml, 5ml.;tOmI,2OmI,_3Om1and !iOm1that complaint to ISO 1886·1,

1. Worl\ on standard disposable syrlnglts of2m1, 3m!, Sml. lOmI,2Om~ 3Om1and SDmI thacomplaint to ISO 7886-1.

2. Automi!tic detection of syrtnge size and proper fixing2. Automatic detection of syringe size andproper fl~ing

3. Alarm fQr wrong loading of syringe :I. Alarm for wrong loading of syringe

4. Eleettonle Seturi1V-key 4. Eleetforllc Security key

$. PbPliI\' ,lII.QIIltooId pumping pre5surU!lgltally and/or graphically firInstant indication of pumping pressures

>. Display monitored pumping pressuredigitally and/or graphically fir instantIndication of 1W1Tlp.1n&I1ressure$

6. Infusion rate:-7. O,l.oo.QOfmVh) (lml syrUlge)ta. o-.:t--Ile;OO(mI.M ~3mhy~9. O.1.1SO.oo(ml/h) t5m1~vrtn8~10. O.1-300.00(ml/h) (10ml syringe)1l.O.1-600.00(ml/h) (20m' syringe)12. O.1-900.00(ml/h) (3Oml syringe)H. O.l-2000.00(rnI/h) (SOml svr1nge)'\.a Ml...~~u.n \ne ..........."'-t 0" \nfUc.'on nato-:15.O.;I.-99.99m1/h (mil\imum Inc.-emc::nQi0.0""",,,

6. Infusion rate:7. O.l-60,OO(mllhl (2ml syrinte)-~ ();l;-!)();Ge\mtfh)-13mI-sYTinget9, O.l-lSO.OO(ml/h) (SmLsyringe)10. 0.1-300.00(ml/h) 110m' syringe)1.1. O.l-QOO.OO(mllhl (2Omlsyr!ng_el12. O.1·9QO.OO(ml/h) (30ml syringe)13. O.1-2000.00(ml/h) (SQrnI syringe)14. Minimum Increment of Infusion rata15. O.1·9g.99ml/h (minimum lnuements:

1-o.00lmv-n}

COMPLY

COMPLY

COMPLY

COMPLY

COMPLYCOMPLYCOMPLYCOM-PI,\,COl\'IPLYCOMPLYCOMPLYCOMPLYCOMPLVCOMJ;lL"V

"

PROtVRJNG IffiITY 8IDDER'S OFFERBIDDER'S

SpeciliatfoJl ~ r~~~~JO(.f~ Spedfltlliicul u Tett,,""' otter.. $'TA.l,£i\ltNT (}FCOMPl:Jl.N£E

16. :i.oo.m:9rnllh minimum -'oCrement o.I/h 16.100-999.9tnl/h minimum Inct~ment a.l/h "COMPLY17. 1000·2000 ml/h mInimum Increment Iml/h 17.100Q.2000ml/hminlmum Intrenumt: 1m ~ COMPLY18. Volume to be Infusee! (VT81);Q.1Q-"9~$?Ml J'IllnimU(n II\CtMI~nt: 18. Volume to be Infus.o (VTBI,: COMPLYO.Olml a.lO-9999.99ml minimum Inc(em~~; Q,Q,lml19. Total volume display: 00:00:01- 99:59:59 19. Total volume display: 00:00:01· 99:59:59 COMPLY20. Bolus rate: 20. 80lus rate: COMPLY• O.l-6l:>.OO(mi/h) (2ml syringe) • O.l.oo.00(mVhI (2ml syrinie)

• (u·go.OOI!lll1li1 (ami syrinse) - O;l-9Q.OO(iYll/llT(3tl'1t$.yrinae)

• 0.1·150..oo(m,,"1 15ml syringe) • 0.1-150.oo{ml/h) (Sml syringe)

• !I.i-300.00(ml)hl llomi syringe) - 0.1-300.00{1Il1/A} (10fu1 syringe)

• 0.l-600.00(ml/h) (2OmI syringe)• O.l-600.00(mt/h) (2OmI syringe)

·1l,HOG.OO{ml/h, {301J\1syringe)" O.H1OO.OO(mf/hl (30m! syringe)

• O.1-2ooo.00(ml/h) (5OmI syringe)• o.l--2000.oo(ml/h) i5OmI/60ml syringel

21. AntiO bolus. function 'it. Al\ti'boIu.s fvl\ttlon COMPt.Y22, Infusion OlCcuracy</= +/- 2" 22. InfuSion accuracy </= +'-2% COMPLY23. Adjustable OetlllSlbn kW~I150-91S""mli 23. Mjij$Qt;le oceiujion lellel150-97:5mmh COMPLY24. Infusion modes: 24, Infusion modes: COMPLYlI. Ralemode a. Riltemode

b.Tlmemod@ b. Time mode

c. Weight mode c. Weight mode

.d..Se.quem:e IlllKI1!d. Sequence mode'e. Trapezia mode

e. Trapezia mode f. Micro modet. Micro mode g. 'ftvamode&- T1vamQd~ h. PCAmoden. PCAmoae !. l-oadlng dose model, Load1ng dOiiQ mode " TClmodeI.TClmode

25. Patient controlled Analgesia Modes: rzs: P'a.ti&nl<:ontrolll!d' Analgesia M'O(t.~$l COMPLYa. titration and toadlng·do$1I! a. titration and loading dOse

b. bolus only b. bolus onlv

e, bolUSWith time limited continuous rate c. bolus with time limited continuous rate

d. bolus with decteaslng rate d. bolu1 WIth decreasing l'iite

e. bolus With trllliered continuous tate ie. bolus with trilgered continuous rate

-PHYSICAL I)£SCRIPTlON

-._ - -- CQMPL..\,plmenslon: 258mrn )( 75mm)( lS2mm

Qrl'!'!n.!il!!\~ ~~ 1I7()-8l) I' 14H55mm t.Nelaht: 1.1kCincludlng the battery COMPLYweJght: 1-2kg (It\ctudtng tile battery) Ptsplay ween: 3.0 Inth Lee with a resistive COMPLYOisplay Kfeen 2.5·5inch leo wi1fl a resi!>tiv!!fplldlween ouch $creen COMP.LYResolution:,480-320pixels ~soluti<>n: 48Qx320pixels COMPI.YAngle of viSibility: 80- degrees in each diredlon ~ngle of visibility; 80 degn!es in each dlrectior

COMPLY'-e;y baG'k~iillt,Key backlight ft. Mler-o.USB-2.0: USlId tQ.(Q~ct-to-patlent_,.-• Mlao UStl :to: used to connect to the patlent-contro!led analgesIa Fontrolled analgesia controilec COMPLYcontroller to-USB 3.0. port: used to Cl»\nect t~ t~ flUr-se e "• use 3.0 port used to connect to die nurse call button ~utton COMPLY• use 2.()'3.0 port: used to connect to the barcode scanner or infusion • USB 2.0 Pflrt ~~Q to connect to, ttl!! barcod COMPLYwork station for communication dlrough the AS232 protocol, and also !scanner or inruslon work station forused for DC power Input ~ommunlcation through the RS-232 protocol.

""" ·aho U3eQ to: ee power. input

__ ...-,,\\\

~,\_..-J

/"'.

PRO~V.BJ..~§~TfTY 8100£11$ omitBtDDER'S

S~dfjtat;o,,:IIS T~~ 9«tr SjJeclrn:JIt1na as T~' (HfU . STA:TOIU,'1' ur. COMP.LtANCI

PHYSICAL DESCRIPTION

• RJ4S network port: 10/100 Mbps wlf adapnve ettlernet port.• RJ45 netWOrk port: 10/100 Mbps self

COMPLYadaptive ethernet port• Wi·fl netwQl1( port: used to communicate with tile Inftr,tIQrl • Wl-FJ rleW.Iork port: used to COmmunicate COMPLYworkstation with the infusion wor1<statJon through the

802.11-b/g!n prolotoJ,

lIIlUIY REQUIREMENT:AC ~ supply: lOO-:220\I AC.SOI6OHz AC power supply: 100-240"1 AC SO/60Hl COMPLYInput'power-<W-SOV A Input power 4SVA COMPLYJixterna! PC ppwer SIlpply; 10- L4 V DC External DC PQwtr ~\lPPtv, leW OJ; COMPLYInput Cu.f"nt'{OC)2.o-3.tl A Input Current (DC) 2.5 A COMPLY

f)luilt.-in.litbium.battet:y;.lQ,a V•. 3OOIl:iAb.B.uilt_-in lithium ~nel¥: 1Q.8.II...lOOOmAb

COMPL.¥Contll'luous operatlon duration: not lil55 than'Continuous operation duratlall: not1e$s'ttr.rn lO'hours- 10hours COMPLY'Charge time: not more than 4 hours Cl\arse time.; not more than" hours COMPLY

~ CQtfWMA'1A SPARE: PARlS.OI\1EJ.glMPQHtI'iI InVA infusion set [TIVAinfusion set c;QMf~Y~'2;3. 5.10:2tt. 30, SOTnI' Syrtrrges-2;3;'S, 10; 20;36i SOml eOMPI:;Y

ENVIRQNI)4ENT&!" REgU.lBEMEN.TS

Opel'ilting Conditions:Operating Conditions: COMPLYOp&atlng'temperature 5-40 OC COMPLYOperating tempetature S-40 °C Humidity: 15% ·9~% flH.., ~o/I'~!!flj,11'I.! e()MtLYliumldity. is;(.-§K i'tH, Ron.comleming. PtelSIofe ait.t\JQe; S7-106.0~. C01\-1PLY,it(lIS:;ur.o·,ltItuckl Sl~1QS.O ~a.

'.Storage conditions: Storalle conditions;

COMPLYIempel'llture; - 20°C - S5 Cc Temperature: - 20°C - 55 °CHumldlt,y: 1591>..g5" RH, non-condenslng Humidity: 10" -95" RH, non-condensing COMPI.IYPressure ;1ltitude 25·105.0 kPa Pressure altitude 22-107.4 kPa COMPLY

DEUVERY COMPLY

30 to 60 days from the receipt of purcha~e 9fil~,30 to 60 days from tIH: receipt of Purchase

COMPLYOrder,

Before delivery, supplier must call the Materials Management section ftef~(¢t:I~liyery, ~'pp,Iler m~ call tha CQl\1pLYLfordel!very cocrdInatfOirtO-lvoicHnln>acceptanee'Ot'deiaym- . ManagementS'etti.on. fill' deJbtary.~cteptiln~. coordll'l4tfon to' avoid non-acceptanc& or

delay In acce~~,

!Mlt!!ltjGIINSTAL~!lON 'YIILIZADQNlJ"4ml,. ((net:".\tY,tlN ~ .1\ e,nd.-use.rs TrdiniAi dft~f <lellijely to all end·users (;<>~pt..V

KtishaLauren V jyam, RPtt. .,- .:~1~,'

_~ ~'~~t'_~, .\.,""".,\ • 1

._----1

'y J

,KRlSHAJAUREN- v-.,~t'AA.¥AM, Rl?h

BIDOER'S OFI=ER

8rochnl'eS. user manuals and lSO-certification5 lncIud~IIrochures, user manuals,andJSQ

',", ... , indurb'rl'

PROCIJRING ENTITYsmJ)ER'S

STilTEMENT OFcmIPLli\:NCE'

2 years warranty on parts and service'!!!th en annual pr3¥entiv;! maintenance saNi i:

COMPLYWltb an.annt.'a! pre'!ent!ve maintenance ser-t..ceInnn ON

SAfETY & STANDARD

IEC il!d/or ISO certifitation whichever Is avaIlable IEClit'ld/or ISO certifitation whicneller is avail ble COMPLY

Name and Signature'of A rj1t'rlUd Repre$entative

ISgM ELI'ZAsErH V. PAUNES, MD, FPNA,FPPS,FCNSP

8AC Chairman

., " , . ., -',~~ 'L'KtSR I . zs.,;_I •• _tLWZ!¥4EA - ,_. .~..,' " ..-._ ,. .,.... ' -.. ~.- ,

ir- . ;.. ., ,JURCHASE OROe:g _-- BAfANGAS MEDICAL CENTER. ~..

, .Supplier: MAXIMUM SOLUTIONS CORPORATION P.O. No. 21 ·11·0401

4F ACcelerando Bldg. ~& Sen. Gil Puyat Ave.Add ..... : MakatlClty Date: November 26, 2021

, TtN: 210-223-725-00000 Mode of Procurement: NP-EC~ = ........\ ..._,

""

Gentlemen:Pleas,efurnish Ulis Office th$ fOIl~ng articles subject to the terms and conditions cqntai1\ed herein:

Place of Delivery: Batanga. Medica' Center Dalivery Ttfrm: Nn Q l"I ~n It. ............. -- ... -•• ,... , .""'t ... " r'\""'-'Cr~lCIl.n';CJ

Date of Delivery: ~Iendar daY$ u.P9I1reGelpt of P.O. Payment Tenn: 30 diys u~on cometete delivery !,,Stock!

Property Unit Description Quantity Unit Cost AmountNo.

unit IRIIne Unim.rruptlble Power Supply 1 1,437,000.00 1,437,000.00Please see attached Technical Specifications:

Ao

r=-,

~ --.. I.1

Batangas Meciical Center ICOM1SSION ON AUDIT

8v t~E:'a~.~, "-

i .. i~e!., _I~"~J' !2~Piemuel'111118\ 03:0'2.

TOTAL, _, 1,41137,000.00... - _." -

[(Total Amount In Words) One mlliton four hundred thirty seven thousand pesos only.I

IAease bffailure tG Make the full delivery within the time specified 8BGve. a penaltY of one-tenth (1/10) a10ne (1) pereent for·\ I day of delay shall be imposed on the undetl~ered ltem/s.

f?)Very truly yours, 0.

RAMONCITO C.~~AYE.MD.FPCS,MHA

~~~!b~~IrCt>efIlO 1 Df.C 1Q21:;onforme: Merl~§iargnSignature over printed name of SupplierDate December 03,202180 _r1 ~~~,!~_~)-J,

6 'I. -- ;,:;---

". ORslB~S No.: r:k>- 11)110·1' !2Il~ n-, OlDDh:und Clu~ei: UI'unds Avanable: I. !l:231 em·oo Data of the ORSIBURS: l\1~\'h

Amount: 1,437,000.00

CARMI~A ~ccou v III Dr1/";lr)<.r ~_

_ .DOH GovertuIwtIt ACCOflnting MIDI1IIII


TECHNIC·AL SPECIFICATIONSNEGOTIATED PROCUREMENT EM.ERG£NCY CASE

SUPPl V AND DELIVERY OF INUNE UN1NTERRUPTIBlE POWER SUPPLYNOVEMBER 8,2021

A. Components:a. Re(:tlfi~rb. Inverterc. Sealed lead Acid Batteries~

Battery Chargere. Automatic Bypassf. Internal Maintenance Bypass Switchg. Input breakerh. User Interface Panel

i. Serial (RS-232)/USB Communication Interfacej. Communication Card Slots (2)k. Remote Emergency Power Off Contacts1. Erwlronmental (Building Alarm) Inputs (3jm. Hardwired Input, Output

BiOtlER'S OFFERPROCURING ENTITY

Specificlltion as Teehulcel OfferBIOOEI~'S

Speciflcatlon as Technical Offt'!' STATEMEN'r (wCOMPLl,\NO:

EATON 93E UPS I ~Ok"i'lA. Components:Ia. Ree.tifierlb. Inverter1,.. Sealed lead Acid Batteriesd. Battery Chargere, Automatic Bypass. Internal Maintenance Bypass Switch

g. Input breaker complyh. User Interface Panel" Serial (RS-Z32)/USB CommunicationInterfaceU. Communication Card Slots (2)k. R~mcte Emergency Power Off!contactsI, Environmental (Building Alarm) Inputs(3)rn. Hardwired tnput, Output

01 Standard dust filtero. Optional Internal Battery (for 15-40kVA)p. External Battery Cabinets (or racks)q. Communications Opttons

1. SNMP/W~b adapter2. RS-232 and relay contact interface

(Standard for China)3. Modbus RTU interface4. Industrial Relay card

n. Standard dust filter10. Optional Internal Battery (for 15-40kVA)p. External Battery Cabinets (or racks)q. Communications Options1. SNMP/Web adapter Comply2. RS-232 and relay contact interfaceI,Standard for China)3. Modbus RTU interlace4. Industrial ReJay Card

8. l\r1orJe$ of Operation:The UPSshall operate as an online, double-

onvsrslcn UPSwith the following modes:a. Normal: During the Normal or Double-

e. NOt-mol;. 0"";"6 th ....Nor"",,,! 0" Double-conversiOn Mode onversiQn Mode the rectifier shalt derivethe rectrfi@r shall derive power. as needed from the power as.needed from me commercial AC

comrnercial AC utility or generator source and supply filtered utility or generator source and supply filteredand regulated DC power to the online inverter. The inverter ~I"\dregulated DC power to the online

•. _" -- •• _ .... h~ n..- '""AI'" t h' hi I d· d f'lt d AC nverter, The inverter shall convert the DCsnail convert til'" ........pv .. ~' .D, .!g... If reeu .ate an I ere t h' hi I d d f'lt d AC_. -". . I "!' power 0 I.}g~..¥ re8'~~L~t~an t ere

power for the crltical tcads, po~~r for the critical loads. II----·~-t-

B. Modes of Operation:The UPS shall operate 0) an online, double-conversion UPSwith the following modes:

Comply

P~OCURiNG ENT1TV BiDDER'S. Qt:FiR

Speclfjclltion as Tecbnica' Offer

b. Upon. faHure ohke At Input seures, the critical load lb.Upon failtlreof the ACInput source, themust.continue to be supplied by the inverter without critical load must continue to- be supplied by

. sWitctling; Th~ invertermust obtain its power from the .:neii'\v.eFterwitAoUf sWlt~Mjjg. TM inyerterbattery. There must be- no interruption .i(.) power to the critical ~i;Jst obtain its.power ftOiTt the batteiy,

. '. • ' , , '. IIhere must be no Interruption in power totoad upon faIlure or restoration of the AC input source. he critjcalload upon failure or restoration of '

c. Upon restoration of the AC input source, the he lACInpl.lt source.rectifier/battery charger must recharge the battery. The Ie. Upon restoration of the AC input source,inverter shall, without interruption of power. regulate the ~he rectlfier/battefY charg!l!r must reehargepower to the' critical load. he battery. The inverter shall, without

Interruption of power, regulate the power tohe critical load

d. High Efficiency: The statlc bypass switch witt' conduc( .- d. High Efficiency: The static bypass switchIwill conduct, and the UPSrectifier andnverter will be operated in a "suspendt!d"

jrnode, unless incoming power conditionsequire conventional double conversion

~peration.e. Bypass: The static bypass switch must beused for transferring the critical load to theiAc utility supply without interruption, alidIShali be rated for continuous operation.!Automatic re-transfer to normal operation!must also be accomplished withoutinterruption of power to the critical load. TheIStatic bypass switch must be capable of~ailuar operation via the front panel~orttrols. .

Safety1. IfC 62040 or eN 62040~,EN 60950

Emission ar'ld Immunity:- E.mission and Immunity: 3. IEC62040.2~C3(conducted and

~. lEC62040-2·C3 (conducted and radiated) adiated)4. EN61000-4,-S, level 4 - 4 kV L·PE, 2kV t-; Electrostatic 14. EN61000-4j'S, level 4 - 4 kV L·PE,

discharge (ESDI: 8 k\I air discharge, 4 ~\I contact discharge 2kV L·t Electrostatic discharge {ES0l.: 8 kV.airusc 61000-4-2.. level a) Electrornagrretic field: rsc 61000·4-8 IdrS2chl(lrgei'34)EklVctontact dis~hafirgled IIIEECC-5

611°0°0°0'

level 4. ' . 4: ..'I"~V:'.... ec romaenetlc e : -b. Markings ~. Markings

1. C£-mark t' CE-mark

a lidthe UPS iEcttflerand inv€rt€i' ~vUIQ€ QP-~r?t~q in ?"suspended" moee, unless incoming power conditionsr~re conventional douQle conversion operati.on.I Bypass: The static bypass swltch must be used fortransferring the critical load to the AC utility supply withoutinterruption, and shall be rated for continuous operation.Automatic re-transfer to normal operation must also beaccomplished without interruption of power to the criticalload. The static bypass switch must be capable of manualoperation via the front panel controls.

C. Referencea. The UPS and all components shall be designed,

manufactured and tested In accordance with the latestapplicable standards as I-a·Hews.Where a conflict arisesV'veen these documents and statements made herein, the:. .ernerrts in this specification shall govern.

~Safety1, IEC62040 or EN,620402. EN 60950

S.ptlcificatit)n as Teehnleal Offer91l}D~R'S

sr ATEMf.NT or:COI\f}'UANC"~

Comply

Comply

~. Referencela, The UPS and .all components shall be~eslgned, manufactured end tt:$t~d inaccordance with the latest applicable>tandards as follows. Where a <;<i'nflict arisesbetween theSE!documents and statementsmade herein, the statements in th.s~pecification shall govern.

Comply

Comply

/-----_.----_ ....

fI

PRO·CURING ENTITY BIDDER'S OFFER.

SpecifiClltion as Teehnteat Ot'fer Speclncation as Teehnleal Offer

D. QUALIFICATIONS D. QUALIFICATIONS

a. The matlufacturer of the unit shaH have a minimum of a. The manufacturer of the unit shallforty yea~; ~x~~~';~~-c~i~ the design" manufacture and testing ~hj8eved'eii"tri,inimum Of f fortv-

t.veadrt5'et~petj€fnce in

'" " gOT manu ac ure an es rllg 0of UmnterruptibJe Power $uppites. Uninterruptlble Power Supplies. .

b. For the equipment specified herein, the manufacturer lb. For the equipment specified herein,shall be 150 9001 certified for engineering/R&D and ,~hemanufacturer Shill! l>E,! ISO 9001 certifiedmanufacturing facilities. Iforengineering/R&D and manufacturing

~Clcilities,

E, REGULATORY REQUlREMENTSa. The UPSshall be CEmarked. a.

REGULATORY REQUIREMENTSThe UPS shall be CE marked.

F. OPERATION AND MAINTENANCEMANUAlS

a. Equipment operation and maintenance manuals shalt be a. E'qul'pmentoperation andprovided with each assembly shipped and shall include maintenance manualsshall be provided with·i'~jction leaflets, instruction bulletins and renewal parts eachassemblyshipped and shall Includelb." where applicable, for th cornptete assembly and each nstructlon leaflets, instruction bulletins andmajor component products. renewal parts lists where applicable, for the

, complete assembly and eachmajoromponent products.

F. OPERATI.oN AND MAINTENANCE MANUALS

G. RAT1NGSa. System Input

1. Input Voltage Operation Rangei. NominaI4QO/23Q (or ~~O/220 Dr 415/240 adjustable) VAC,4-wire plus ground

ii. +20% to -15% from nominal at 100% loadiii. +20% to -50% from nominal at 50% load

2. Input Frequency:40 to 72 Hz3, Input Power Factor: 0.99l~ 4. Input Current Distortion: S%THO maximum at full

id linear load5. Inrus.h Current:

, b. System Output, Normal Mode -Nominal OutputVoltage, UPSon Utility

1. 40()j1.30, or 380/220 or 41S/240VAC, Selectah~through front panel or through serial port connecuon withpower management software

~, RATINGSa. System Input1. input Voltage Operation RangeI. Nominal 400/230 (or 380/220 or~1$/240 adiustablel VAC,4·wir~ QJI.j~~round'j. +20% to -15% from nominal at 100%load·ii. +20% to -50% from nominal at 50%load2. Input Frequency:40 to i2 Hz3. Input Power Factor: 0.9914. Input Current Distortion: 5% THDmaximum at full rated linear load5. InrushCurrent:, b. System Output, Normal Mode-Nominal Output Voltage, UPSon Utility1.400/230, or 380/220 or 415/240VAC,~electable through front panel or~hrough serial port connection withpower management software

2.. Output power factor rating: 0.7 lagging to 0.9 leading 2. Output power factor rating: 0.7without de-ratlna. laggingto 0.9 leading without de-rating.

3 V I I f OJ. Volf:.I;l~ r~:Hzuk,t;on! +1-10/0 of. 0 tage regu atlon: + -~'¥oof selected output vOltase selected output voltage in steady state

in steady state Transient Voltage Response: Meets Class 1 Transient Voltage Response: Meets Class1performance of leC62040·3 and VFI-SS-1l1; +/-5% for 100% performance of IEC62040-3 and VFI-SS·l11;step load rhi'!!$e; recovery in <20ms. +/-5% for 100% step load change; recovery In

<20ms.

i-----·---+---

BIDDEH'SSTATE~1F.N1' OF

COM1'LIANCF.

Campi.,

Comply

Comply

Comply

Comply

Comply

Comply

Comply

ComplyCompty

Comply

ComplV

Comply

Comply

Comply

PRocURING ENTllV B1DDER'S OfFER

SpecificSltiqn as Technies! Offer Spe~ifit:atillli as Technical OfferBlIJm:K'S

ST ATF.MF.NT OFCOMPI,lANCF.

4. Voltage THD: 4. Voltage THO: Complyi. 1, 2~1!T~nf!!Harmonic Di~tortion' jTHO') maximum phase to i. 1. 2% Total Harmonic Distortion

neutral lnto a maximum rated linear load THOj rtlaK@(.im fJl'ia~ to n€Ut(~f i.1to. ~ Campi,iI. 2. 5% THQ maximum phase to neutral and phase to !maximum rated linear load

i. 2. 5% THO maximum phase tophase into a non-linear toad [neutra~and phase to phase lnto a non-linear

S. Nominal Frequency: SO or 60 Hz selectable oadCompty

6.Frequency Regulation: 5. Nominal "Frequency: 50 or 60 Hz selectable Complyi. SO/60 Hz +/- 4Hl., +/-1 to +/- 4 Hz selectable, synchronized

~. c .......,..uc .....'..f,.1 DaaJ Ihatlnn~rn;~ t;;:n~! I\"'tt~ .......- •••

to mains, +l- 0.1 Hz free running (single module) or +/- 0.07 . 50/60 Hz +/. 4Hz. +/-1 to +/- 4 Hz

Hz (parallel system)selectable, synchronized to mains. +/- 0.1 Hz Complyree running (single module) or +l- 0.07 Hz

(parallel system)

7. SleW rate: 7. Slew rate: ComplyL 3 Hz per second as default i. if Hz per secorrd 85 defp.l!I~ CflmflJy

ii. Selectable up to 7 Hz/s for single units {like 80- L Selectable up to 7 Hz/s for single

·~·.vA units (like 80- Complv200kVA

ill. <0.5 I-Il/S for parallel unit50.SHzl$ (like 93E iii. <0.5 Hz/s for parallel unitsO.5Hz/s100kVA) like 93E lOOkVAj Comply

iv. Generator Mode (1/3/5 / 7 Hz/s) fer single units lv, Generator Mode (1/3/5/7 Hz/s) for

selectable through software parameters that can be single units selectable through software Comply

configured via LCD and service PC interfaceparameters that can be configured via LCDand service PCinterface

8. Output Current: Full load output current (at nominal~, Output-Current: Fullioac! output Comply

output voltage) for the UPS shall be: 20 kVA system: 29 A @ current (at nominal output voltage) for the

400 V UPSshall be: 20 kVA system: 29 A @ 400 V

9. Curren I Overload Capability without Bypass:!. 9. Current Overload Capability without Comply102-125% for 10 min Bypass: i, 102-125% for 10 min

ii. 126·150% for 1 min i. 126-150% for 1 min Complyiii .. :.15:\;% for 150 ms ill.. >151% for 150 ms Complytv, Short Circuit conditions: current limit at 2.5l< iv. Short Circuit conditicns: current limit at Comply

ninal Fl current for 300 ms (50Hz),2.5)( nominal FLcurrent for 300 ms (50Hz).

10. Current Overload Capability with Comply

10. Current Overload Capability with Bypass enabled

Bypass enabledi: 102-12)% for 10 min Comply

i. 102-125% for 10 minIi. 126-150% for 1 mill Complyii. >151% for 150 ms

ii. 126-150% for 1 min v, Short Circuit conditions: currentComply

iii. >151% for 150 ms limit at 2.5)( nominal Fl current for 300

tv. Short Circuit conditions: current limit at 2.5)( ims(50Hz), then transfer to bypass; 115% % ojComply

nominal FL current for 300 ms(SOHz), then transfer to bypass;nominal line current continuous, with

115% % of nominal line current continuous, with transientf,ransient capability of ~Oxpk current for 20

C(lPObIUuy of ;1.0.. pk ~............."t for 20 rn~.Ims,

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PROCURING EN1TN

Specification IlS Technical otter

D'I"'\"'CDJ~ nt:FEDD vuc" ~ UI- ,."

Specifieatio" as Technical OfferBIJ)lltL('S

STATRMF.N1' OFCOMPLlANCJ!:

i. Automatfc bypass shall provide an{alter.nat~ pat-n to p-OW'e"rin the (:B5e of!overload, Inverter failure, or other UPS!failure

to allow servicing of the UPS I. Internal Maintenance 8ypass can be .iiI. Transfer tlmete and from any internal bypass shall utilized with the UPSto allow sarvtclng of the

be no-break when UPS and Utility are in sync UPSiv. Unit shall be able to detect bypass module failure. iil, Transfer time tc ~mdfrom any

internal bypass shall be no-break when UPSand Utility are In synciv. Unit shall be able to detect bypassmodule failure.

11. Bypass:i. Automatic bypass shall prOVide an alternate path to powerin the case of overload, inverter failure, or other UPSfailureH. tnterna] Maintt!nance Bypass can be utilized with the UPS

12. Efficlencv~i. In NormFiI Mot;le, 100% linear load, with nominal linecondition: up to 94%

11. Bypass:

H. iA Natmai Mode, 50% lineai la;;;d, with nominal line 12. EffiCiency:condition: 20-80kvA, 92.5%j 15kVA, 92% In Normal Mode, 100% linear Iced,

~ith nominal line condition: up to 94%i. In Normal Mode, 50% linear loa,d,

~Ith nominal line condition: 20-80kvA,92.5%; 15kVA, 92%jii. In High Efficiency mode

iii. In High Efficiency mode

H.System Output, Battery Modea. Nominal Output Voltage: This shall be the user-selected

output voltageD. Voltage Regulation: +/-1% phase to neutral of selected

nominal voltage t+/- 2% phase to phase)c. Transient Voltage Response

i. Meets Class 1 performance of IEC62040-3ii. +/-5% for 100% step load change: recoverv in

d. Voltage THO:i. 2% Total Harmonic Distortion (fHE» maximum Into a-------'<imumrated linear load

it 5% THD maximum phase to neutral into a maximumrated non-linear load (7.5% phase to phase)

e. Frequency Regulation: +/-0,1 HZ'of selected nominal

frequencyf. Current Overload Capability

i. 102-125% for 1 minll, 126-150% for 30 5

iii. >150% for 150 rnsg. 15kVA to 40kVA UPScan support the internal batteries.

The backup time is no less than 8 min at90% load.

H. System Output, Battery Modea. Nominal Output Voltage: This shallbe the user-selected output voltageb. Voltage Reg~llation: +/-1% phase toneutral of selected nominal voltage (+/- 2%phase to phase)

Transient Voltage Response. Meets Class 1 performance of IEC62D40-3ii. +/-5% for 100% step load change; recoveryn

!d. Voltage THO;2% Total Harmonic Distortion (TI'\I;))

maximum into a maximum rated linear loadIi- 5% THO maximum phase to neutralinto a maximum rated non-linear load (7.5%!phase to phase)Ie. Frequencv Regulation: +/-0.1 Hzofee:€ct~d nomina! fr~q!!encye Current Overload Capability i. 102-125% for 1 min~i.126-150% for 30 sIii. >150% for 150 msjg. 15kVA to 40kVA UPS can supportthe internal batteries. The backup time is noless than 8 min at90% load.

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pROCURiNG ENTiTy

SpeeifitHtion IlS Teehnieel Offer

nJnOf!:n'~ o~rrRDIU 1:" __ rrs;SlUDeR'S


I. UPS IN PARALLEL CONFIGURATIONS~. UPS modules shall be capable oftieing pataUefed to mcrease system powerevels Of to provide redundant power. TheUPSshail be field-upgradeable with

a, UPS modules shall be capable of being paralleled to !additional parallel capadty up to 3+0increase system power levels or to provide redundant power. modules, or for redundant operati9f1, \If:! toThe UPS shall be fletd-upgradeable with additional paralleJ 13+1 modules. The parallel system shall havecapacity up to 3+0 modules, or for redundant operation, up 'nteiligence to autQmati~ally recognize theto 3+1 modules. The parallel system shall have intelligence to need for capacity and/or redundancy.

..' . Parallel systems shall utilize autonomousautomatically recogmze the need for capacrtv and/er UPS power modules that do not rely on anyredundancy. Paranel systems shall utilize autonomous UPS antral interconnections for synchronizedpower modules that do not rely on any control operation. The Individual modules shallintefconnectioiis for $'{iichiOilized op~rattGr:,Th€ in4i'.(!Q~~! operate in a peer-to-peer manner to provide

automatic load sharing. synchronization •.andselective tripping capabilities. "Master-slave"conflguratlons are nat acceptable.

lb. The parallel system shall utilize acommunications network to provide system

b. The parallel system shall utilize a communications network mformation and status, such as operating. . . . mode and meter data. This network shall

to provtds system Information and status, such as operatingmode and meter data. This network shall provide individual

module information as well as total system information, andindividual module information shall be available from anymodule's front panel display, The loss of this systeminformation network shall not cause the parallel units. to

transfer to bypass or drop the critical load.

Emergency Power Off circuit. Upon initiatton of the EPOcircuit, the e. Remote Emergency Power Off (EPO)UPS shall open its Input relays, and disengage the battery !connection: The UPS shall provide a built-in

anding for field connection of a remoteEmergency Power Off circuit. Upon Initiation

. Qf the EPO clrcult, the UPS shall open its·ljnput relays, and disen«age the batteryto(1verter, preventing powe~ ...·~--I--·-i!ellvered to the at.taeheilloads.

I. UPS IN PARALLEL CONFtGURATlONS

modules shall operate in iii peer-to-peer manner to providea~matic load sharing, synchronization, and selectivet ng capabilities. "Master-slave" confjguratlons are not

acceptable.

,-----..iSTEM INPUT & OUTPUT CONNECTIONS

a. All UPS units shall be capable of utill.zlng hardwired input.

Wiring between Option or external battery (;~binets and UPSto besupplied by others.

b. The building/Utility input neutrai is reqlJired far p'(Qnf;r UPSoperation unless the input transformer option is used.

C. At Output:i All UPSunits shall be capable of utiliLil1g hardwired output

d. Extended Battery Connection: UPS module will includetl!rminations for (xterna\ battery cabinets, if used. All UPS unitsshall be capable of utilizing hardwired input.

c. rt"""Qt .. e",.,rso"".,. Pow",. Off (!;PO) Connection: The UPS~,",,'9IU p...q .....;d~ .., by'H:-'r:' I,_r\drrle fO,. field conn...,c:ricu"\ 0"- 8' re:"""'Qroe

converter, preventing power from being delivered to the attachedloads.

SpecifiC1ltion KS Technica! Off\!r

provide individual module information aswell as total system information, andindividual module information shall beavailable from any module's front partel~isplay. The loss of this system informationnetwork shall not <:aIJS~ the parallel units tora~sfer to bypass or drop the critical load.

~. SYSTEM INPUT & OUTPUt CONNECTIONSa. All UPS units shall be capable ofutiliZing hardwired input. Wiring betweenOption or external battery cabinets and UPSo be supplied by others.

lb. The building/Utility input neutral is~eqUlfed for proper UPS operation unless theIOPlJ't transformer option is used.

AC Output:Ali UPSunits shall be capable of

utilizing hardwired outputd, Extended Battery Connection: UPS modulewill include terminations for External battery("abinels, if used, All UPS units shall be

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iiDDeR'S OJ;J;ERPROCURING ENTITY

Specltication ali Technical OfferSpecification as Technical Offer

f. Serial (R5-232) CommunicationInterface: A 9-pin sub-a connector and LJSBonnector sMU ~r-6v{de Gcij;lability fot

~ommunicating with manufaCturer's~ervicing software package. The UPSshallalso provide plug-In communlcatlon optionso provide signals for remote indication of

UPS alarm status.~. (2) Cernmuntcatlon Carcl Slots; Th~UPSshall provide (2) communicationrninislots in the front ofthe UPSallowing forpptional plug-in connectivity oetlons,including SNMP/Web interface, 4){ relay~ontact~ 8; RS232 port, and Modbuscapabilitiesr. (3) Programmable Input~onnections; The UPS shall provide built-ln

. nputs for field connection (environmentalnput). The inputs shall be parameterprogrammable to suit the needs of theapplfcation.

f, Seriaf (~S-2S2} CemMuAi{;ation r~t~rface; A g~pin s"V{l;Q

connector and USB ccnnector sheil provide capability forcommunicating with m~huf~ctoreri5. serviCing software package.The UPSshall also provide plug-In ccmmuntcattcn options toprovide signals for remote Indication of UPS alarm status.

g. (2) Communication Card Slots: The UPS shall provide (2)comrnunication minis lots in the front of the UPS allowing foroptional plug-in connectivity options, including SNMP/Webinterface, 4)( relay contacts & RS232 port, and Modbus capabilities

h. (3) Programmable Input Connections: The UPS shall providebuilt-in inputs' for field connection {environmental Input). Thetrrout:1 ~h?!! be parameter pr9grgmm~ble to suit the needs of theapplication.

K, USERINTERFACE- Unit Must have at leastK. USER tNTERFACE - Unit Must have at least the following; the following:

a. Front Panel Display: The UPS shall include iii front panel a. Front Panel Display: The UPSshall indudedisplay consisting of a graphicallCD disptav with backlight, four a front panel display consisting of a graphicalstatus lEg's, ~nd ~six-key keypad,' LCDdisplay with backlight, four status LED's,

i. Graphical LCDdisplay: Includes basic language (English and and a six-key keYj\lad.'local selectable language), di~plav of unit function and operating Graphlc~ILCD display: Include.$ basic

language (Engl1sh and local selectableparameters. It shall be used to signify the operating state of the language), display of unit function andUPS, for indicating alarms. for changing operations control pperatin8 parameters. It shall be used toparameters and set points. Integrity test USing Display, With the signify the operating state of the lJP$, forabilitY toperform a full load test and/or full battery discharge test \ndicatlng alarms, for changing operationsv--'<Iout the connection of a load bank, UPS offers an antral parameters and set points. Integrity

recedented spectruM of benefits. The UPS is programmed to test USing Display, With the ability toprocess power in a re-circulating fashion, using its own rectifiers perform a full load test and/or full batteryand inverters as an internal load bank. This new. unique method of discharge test without the connection of a

. . . , . . , .. load bank, UPSoffers an unprecedentedload testing when comrrussrorung or servlClr'tg a UPS ISgenerating ~, f b f Th UPS·'spectrum 0 ene ItS. e ISsignificant savings in cost. time, coordination and power, . programmed to process power in a ra-

H. Four status LED'S,which indicate: irculating fashion, using its own rectifiersa. Alarms, with a red LED and inverters as an internal toad bank. Thisb. Alarms, with a red LEO new, unique method of load testing whenc. 9n Bypass, with a yellow.LED comrmsslomng or servicing a UPS isd. Power On. with a green LED ~enerating significant savings in cost, time,

coordination and power.I. Four status LED's, which indicate:

-. AI_ ....._ ...........~..h ...... d L~O

b. Alarms, with a red LEDc. On Bypass, with a yellow LEO~, Power On, with a green LEO

lUOD.KIt'SS'FATEMENT 01"COM.l'UANCE

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PROCURiNG !NTlTV

Sp~cificatil}n as Technical Ort'er Sp'-l4!iflcatio.n as Technical OfferaIDD~:lt·S

ST AT£M.F.NT 0'"COMPLIANCE

. BATIERIESa.load

hBatter'u bae\tu" U-f,Jto grnim; an 90% load b D T \1 I Rid L d• f .. D. Qatt~Pi I ¥P€: • a.ve .. !'!ff.u.ate __ e~_. Battery Type; Valve Regulated Lead Acid (VRLA}, [Acid (VRlA), minimum two-year warranted

.ilmum two-vear warranted float service life at 25 degrees !float service Ufe at 2S deg(ees C.C. c. Same brand with UPS preferred;

c. Same brand with UPS preferred; lei· Holdover Time (Runtime): Each UPS.d. Holdover Time ,Runtime): Each UPS system shall have system shalt have the option of capability for

. matching battery cabinets to increase thethe option of capability for matching battery cabinets to holdovar time. Please refer to datasbeet forincrease the holdover time. Please refer to datasheer for a list i<Jlistof runtimes. Tt;e battery times listedof runtimes. The battery times listed there are approximate there are approximate and may varyand may vary depending on load configuratlon. temperature, ~ependlng on load conflguratton,

. batter a e, and state of battery charge. smperature, battery age, and state ofy g . . battery charge.

e. Battsrv CE!lIs:192"'Z40 Cells per string. (LCD battery ~. Battery Cells:ln-i.40 Cells pert;Qnfigl,re interface will support numbers count by cells) ~tring. (LCDbattery conflgure interface will

~""f'P~,..-t .............."=" ""'~WO ... 'I;. b .....e;... 1'-.:.;

,

iii. slx-Kev Multifunction Keypad: UPS shall have keypad toallow user to adjust UPS parameters, view alarm and inverter logs,change.UPS operational modes, and turn the UPS on and off. Keyswill be n\arked as UP, DOWN, LEFT, RIGHT, ESC and ENTER

b. Power MMagement Software ~a.ckage: The UPS shall offeroptional communications Interface tl1at pro'~ides the fQIIQwit'lgcornrnunlcaticncapabllitles:i. Monitor and grClphlcally display input and output voltage andother operatlng characteristics

li, Notify end-users in the event of a power anomaly vianetwork or E-mail.

iii. Communication Ports:1. Communication Card Slots: The UPS shan prOvide (2)

cJ=-l...munication mini-slots In the front of the UPS allowing for, ional connectivity options, inCluding SNMPjWeb interface, 4xrelay contacts, and RS*232,capabilities.

2. Serial communications (via RS-232 or USB) withmanufacturer'S service software package

L. BATTERIES

Iii. Six-Key Multifunction Keypad: UPSshallhave ki!ypad fa allow user to adjUst UP-Sparameters, view alarm and inverter logs,hange UPSoperational modes. and tum the

LJPSon and off. Kevs will be- marked as UP,DOWN, LEFT, RIGHT, ESCand ENTER

h. power Management SQftWir~ Pack~ge:The UPSshall offer optional communicationsnterface that provides the following

~ommunication capabilities:i. Monitor and graphically displaymout and output voltage and otherIoper9tin~ cha racteristics'1. Notify end-users ill the event of alPower anomaly via network or E-mail.tii. Communication Ports:1. Communication Card Slots: The UPSshall provide (2) communication mini-slots inhe front of the UPSallowing for additional

connectivity options, includlng SNMP/Webinterface, 4x relay contacts, and RS-232capabilities.2.. Serial communications (via RS·232lor USB) with manufacturer's service softwarepackage

Battery ba,kup up to 8mlns on 90%

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._--_ .... ,,- ... > .• ~, ... , .'

PROCURiNG ENTiTY

Spedticatlol1 as 'hchnical on'er Sp~citlcati'lll as Teehnieal Offt'rBIDDlm'~

STATEMENT OFCOMPLlANCf.

( Battery Recharge Time: If, Battery Recharge Time:i. UPS system will have a typical recharge time of 10 times the LUPSsystem will have a typical recharge

length of the outage 90% usable capacity @ hominalline' ~imeof 10 till'les the tel'lgth of the outageg. Sus Voltage: Nominal bus lIoltage is 43Z voe, adjustable to ~ usable capacity @ nominal line'

384VDC.· ~. Bus Voltage: Nominal bus voltage is~32 VDe, adjustable to 384VOC.h. Battery Protection:i. Short Circuit Protection: Over-current protection shQII pr9~ec;t \h~ batteriesfrom all short circuit fault conditions

h. Battery Protection:i. Short Circu.lt Protectlon: Over-current protection shall

protect the batteri~s frot:'\! ~\ short circuit fault condtncns

li, Battery Module Protection: Internal battery fuse/relay shallbe provided

iii. Under-voltage Protection:a. lilVeft~f sut-offvoltege: Battery operation shall b.e

terminated when the battery voltage drops to the 1.67 VPC setpoint,.----..,

Over-voltage Protection: If the UPS system's battery busvorcage exceeds the predetermined set point then the UPSwilldtsable the charger and alarm a "check battery" condition

i. Advanced Ba!t~ry Managementi, e~ttel'Y r~charge:.4fter reCOjjrging batteries rc fuJI capacity, thecharger' will enter the rest mode to increase the battery lifetimeaccording the ASM cycle. Hence, continuous float charging of thebattery shall not be required if the ABM feature Is selected. Theactive battery charger states are constant current (charge mode),constant-voltage (float mode) and no-charge (rest mode). TheASM feature is user (Of service) selet:table. If ABM Is not utilized,r.UPS operates as a corwentiona\ float charger.

ii. Battery Runtime Mon'itorlng: UPS shall monitor battenesand provide status to end user of battery remaining capacity viafront panel Icon, remote communications, or both. Runtime

. calculations to be based on load demand and analysis of battery

health.ilL BatterY Health Monitoring; UPSshall periodiciillly test and

monitor b;mery health and provide wamfngs visually. audiblyand/or remotely when battery capacltv faUs below 80% of originalcapacity. Battery testing may also be user initiated via front pane!

or serial communications.

ii. Battery Module Protection: Internalbattery fuse/relay shall be provided

iii. Under-voltage Protection:Ia. lovi!rter cut-off voltage: BafiQry operation~hall be terminated when the battery voltage~rops to the 1.67 VPC set pointv, Over-voltage Protection: If the UPSsystem's battery bus voltage exceeds theIPredetermined set point then the UPS willdisable the charger and alarm a "checkbattery" condition

l. Advanced Battery Managementi. Battery recharge: After rechargingbatteries to full capacity, the charger willenter the rest mode to increase the batteryifetime according the ASM cycle. Hence,ontinuous float charging ofthe battery shall

not be required if the ABM feature isselected. The active battery charger statesare constant current (charge mode),constant-voltage (float mode) and ho-charge(rest mode}. The ABM feature is user (or'!Service) selectable. If ABM is not utilized, theUPS operates as a conventional float charger.ii. Battery RuntIme Monitoring; UPSshall monitor batteries and provide status toieno user of battel-Y f€ma-fnini. capi:~lty via IIfront panel icon. remote communications, orboth. Runtime calculations to be based onoad.dernand and analysis of battery health.Ii!. Battery Health Monitoring: UPS~hall periodjcally test and monitor batteryhealth and provide warnings visuallv. audiblyand/or remotely when battery capacity falls:below 8001)6gf OriR~"'D' capacit_y. Datta",~e.s~in8 may 0;01$0be ..."c;r inl~IQteQ VIi> fr"n~

panel or serial communications.

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P~OCURING ENTlrv BiDDER'S OFFER

SpecifJeathm as Teehnlcal Ot'fer Speclftcatton as Technical Offer

M. ENVtRQNlVl~NTAl COND.lnONS M. ENVIRONMENTAL CONDITIONS

a. The UPS shall meet lEe 61000-4-6 level 3, and lEe 62040· la. f--heUPS shalr meet ItE 6ioa0-4-b20

b. Audible Noise:15-20 kVA: less than or equal to 55 dBA (A weighted) at one(1) metre' from ~II sides in normal mode at less than or equal

to is% ioad15·20 kVA; less than or equal to 55 dBA (A weighted) at one(l) metre from all sides in normal mode at less than or equalto 75% load60-80 kVA: Less than 65 dBA (A weighted) at one (1) metrefrom all sides in normal mode at Jess than or equal to 75%load.

c. Ambient Temperature~1tjng; UPS; O·C to +40 ·C, (preferred temperature forb(j"eries: +15 9C to +25 0(,

Storage: UPS -25 ·C to +55 0c.Transportation: ·25 ·C to -t60 "C

d. Relat~"e HumidityI i. Operating: 5 to 95% non-condensing.

Ii. Storage: 5 to 95% non-condensing.IiI. Transportation: 5 to 95% non-conoenstng

e. Electrostatic Discharge: The UPS shall be able towithstand a minimum 6 kV without damage and witftoutaffecting the critical load

N.WARRANlY/"""-

\11 components of the UPS system (UPS module,bacrerles, and optional cabinet) shall be covered by astandard l-ye"'f W~f(9nty.

b. 7x24 on-site service support with guaranteed 24Hresponse time.

c. Additional preventive maintenance visits shall beavailable for both UPS~nd battery components.

d. Include Start-uo services consisting of: Sx8 Start-up service ofUPS and batteries, On-Site user traini-ng, Site Audit,installation andcommissioning of monitoring service.

Level 3, and lEe ~2040· 2 C3lb. Audible Noise:15-20 kVA: Less than or equal to S5 dBA (AlWelghted) at one1t1) metre from all sides In normal mode .atless tnan or equal to ;S% load15-20 kVA: Less than or equal to S5 dBA (Aiweighted) at one1) metre from all sides in normal mode at

less than or equal to 75% load~O.80 kVA: Less than 65 dBA (A weighted) atone (1) merre from alJsides in norma! mode~t less than or equal to 75% load.

. Ambient TemperaturejoPflratlng: ups: 0 ·C to +40 ·C, (preferredemperature for batteries: +15 ·c to +-25·C.

p>torage: UPS ·25 'C to +55 ·C.:rransportation: -2S DC to +60 'C

leI. Relative Humidity. Oper<.lting: 5 to 95% non-condensing,Ii. Storage: 5 to 95% non-condensing.Ili. Transportation: 5 to 95% non-condensing!e. Electrostatic Discharge: The UPSshall befable to withstand a minimum 6 kV without

Idamagean.d without affecting the criticaload

A.I ,.lJAl"JeAA.1TVIV. VVAnn"'IV I I

a. All components of the UPS svstem(UPS module, batteries, and optionalcabinet) shall be covered by a standard 1-year warranty.b. 7)(24 on-site service support withguaranteed 24H response time.c. Additional preventiVe maintenance,isits shall be available for bot" UPS i'f(Idbattery components.d. Include Start-up services conSistingIPf: Sx8 Start-up service of UPSand batteries,On-site user training, Site Audit, installationand commissioning of monitoring service.

BmDER'SS"-ATEMF.N'J' OFCOMjlUANC~

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! PURCHASE ORDERBATANGAS MEDICAL CENTER ..

- . -. .. . -~-Supplier: DYNASTY PHARMACEUTICALS P.O. No. 21-11-0400

Address: 2432 Legarda St., Samealoc, 042 Date: November 26, 2021

Bgy. 412, Manila

.~TIN: 100-677 -764-000 Mode of Procurement: SVPi

,! Gentlemen:

~~PLease furnish this Office the following articles subject to the terms and conditions contained herein:

;~Place of Delivery: Batan~as Medical Center Delivery Term: NO P.O., NO Acceptancej 10 calendar days upon receipt of': Date of Delivery: P.O. Payment 'Term: 30 days uEon complete delivery

Stock!.-,

Property Unit Description Quantity Unit Cost Amount

; No.J PARACETAMOL lo.MG/ML,. SUML

1 VIAL SOLUTION SOO 228.00 114,000.00-Cetarnin ..

·.'~~."

h; _-

Ji cen~cr-\~-tan02:) Me'~',:: \ Be

,·1 CO ~iISSIOi\j ( .IN ,A,UOIT

\ .,,,,~ED; R~7~\ {·~V .

i

!?wltliluer.}

. SAl!udit 1e!;,: GV . ~~. iiJQ~1 . ,· ~gJ• llf, (f9!/:,~ Note: lilli', ..

Please attaoh the following ifapplicable upon delivery

: (NO attachment NO acceptance of delivery)

"1. Certificate of Product Registration from FDA

, 2. Certificate of Good Manufacturing practice from FDA,:'}

3. Batch Release Certificate from FDA,/-~

TOTAL 114,000.00, , ;

(Total Amount in Words) One hundred fourteen thousand pesos only,.M

In case offailure to make the full delivery within the time specified above, a penalty of one-tenth (1/10) of one (I) percent fOI:{ every day of delay shall be imposed on the undelivered item/so

Very truly yours, [/VI &~~ IIT::© ~~c. MAGNAn,MD,FPCS,MHA

. Confonne:__ . ical Center Chief II a 6 DEC 2021

'vE.~ t. C_J u:2021 -; Sigrfa1llreOver printed name of Suppl ier

nv. \ 0'. Ii-~Date Dec ~ .Q.0 2_ \

" Fund Cluster: ()J ~ ORS/BURS No.: 0<- to l~;~f:tQQ:)[{I : ~: Funds Available: Jl4,Crl2-CO Date of the ORS/BURS:

CARMINW'STI 'ii'Lf?~ Amount: 114,000.00 rs

r;:J "nrn 1""T ffil-'._,,.··.... .,~fiji;! (?~~~I11?~nt I W';! '1 - ?[l~ i!.f'"' ";",. "I. .... ," '. ,,,,,.~.l ,J, l. ,';.... ,,/1 1'" J

I i t=e:: # ".. r;','I"!; I' I )'[5"C?L3 J 1 DOH Government Accounting Manual

l-~~,i ,~ '- d 1,. ,/

j f ZJ2.1 -iYJI1" WI!!1I,t, t-:;-:: . ". + , ~T ·,""·--iU.. -- ..... ,,.-' .... w .. \..J \...,1 ~:'.. ~ ......_---- ..._-_<., ........_--_ ..._-

u U [51_..· ,

.,

F·~!PURCHASE ORDER"_, ..,

BATANGAS MEDICAL CENTER:

(tlPp~ier: .BREATH WELL MEDICAL ENTERPRISES P.O. No. 21-11-0399

12 Dinar si., Michael Homes, Pandayan, Date: November 26. 2021Address: ;.t Meycauyan Citl- Bulacan

TJN: 2 J 0-192-667-000 Mode of Procurement: PB August 2021

(ienllemen:Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery: Batangas Medical Center Delivery Term: NQ P.O., riQ Acceptance\)ate of Del ivery: As need arises Payment Term: 30 da~s LIEon cOI11Elete delivery

Srocki',Property Unit Description Quantity Unit Cost Amount

No ..----

I"ADULT HIGH FLOW CANNULA

IPIECE Size: Large, Cannula Size; 6mm 00, Flow range: Lip 375 2.300.00 862.500.00to 80 LPM

It,ro/

.'

,· .'

I ~i~';:~~?C;~TIBatanga'. . . COfV!iS~

R'r r.~ VFDNote:

~. 1c. ,_ .

Please attach the folio ving ifapplicable upon delivery RV :G(NO attachment N acceptance ofdelivery)

:'-:

Ulo.,J J.i2.J1I', i~,~ -- \-o- r II , Certificate of Product Registration from FDA 11111(:j 1 ~:lir..--..1.. rr:

2, Certificate of Good \1anufacturing practice from FDA \~J. Batch Release Certificate from FDA

r TOTAL 862,500.00,,:i l(Total Amount in Words) Eight hundred sixty-two thousand five hundred pesos only <;

In case offailure to make the full delivery within the time specified above, a penalty of one-tenth (1/10) of one (I) percent torevery day of delay shall be imposed on the undelivered item/so

'. , ... Very truly yours. \ I

if

U-~ RAMONCITO C. MAGNA YE.MD.FPCS,MHAMedical Center Chief II

( untorme: .~t0 ¥t?J-'-1» . .Signa~r printed name of 'upplier

e r]. - c~, j;><1;1

r ,..nd CI I.A:st"::I-; , 1 ORS/BURS No.: C~ -i", I. '.l-:?i - II ccx· 'Xf• i

Funds Available: \'(,' ':"'Q ,', Date of the ORS/BURS: Ii 42'11 '-'(I\. ,

Amount: 862,500.00r-! CARMINA C. CASTILLO,CPA ·(~(O.. - Accountant! Y 0/,:;(3 Ilp~I ,

~-t . .._ __ ...page 1/1

1 u,;<,g .!l:.~JJ. W ~ DOH Government Accounting Manual~. I! 1--. 0 Lu"j IJ~•1 ~_oJ: _,.,_ A. II,

1 V~:J{; JJ' .u:7fJ ("\.

PURCHASE ORDERBATANGAS MEDICAL CENTEk.

P.O. No. --------

'1'11\: 233-495-266-000 Mode of Procurement: PB OCT. 20_1 !

r-----------------------------------------l!Gentlemen: i1- PI_e_as_e_t_ll_rn_i_sl_l_I h_is_O_ff_i_ce_lh_e_f_o_ll_o_w_il...;;lg~a_rt_i_c_1e_s_s_ub...:~;...e_ct_t_o_t_he_te_r_m_s_a_n_d_c_o_nd_i_ti_o_ns_co_1_It_a_in_e_d_h_e_re_in_: lPlace of Delivery: Batangas Medical Center Delivery Term: NO P.O .. NO Acceptance !Dale of Delivery: 60 calendar days upon receipt at' P.O. Payment Term: 30 days upon complete delivery 1~~~~~--~================~------~,-----;=======~========~~iStocV !

Property Unit Description Quantity Unit Cost Amount l1

~o. ,--~~~----~-----------------------------'_------'_---------r--------------lVIDEO ENDOSCOPY TOWER WITH 3 I

SCOPES (COLONOSCOPE, GASTROSCOPE,DUODENOSCOPE)Brand: Fujifilm. Model: Eluxeo 6000. Scopes: (EG-nOR. EC-nOR/L. ED-580XT)DEFIBRILLATORBrand: Cornen

NOTe:Please auach the fa! lowing if appl icable upon del iverv

(NO artach ment NO accepto nce of delivery)I. Certificate of Product Registration from r-DA2. Certificate otGood vlanufacturing practice from FD.-\

3. Batch Rekase Cenilicate from FDA-------~~--~-~T~O~T~A~L~r--~9~,8-1-7,-4-17~.O~O~l!

Supplier: ZAFfRE DISTRIBUTORS, INC.Address: 49 Examiner Street

West T"iangle Quezon City

SET

21-11-0398

Date: November 26.20 •.1

9.497.999.00

LNIT

PLE.A. E SEE ATT.A.CHED TECH IICALSPECIFIC.ATION.

i

i9.497.999.00 I

II,j

1I 319.4 18.00 319.4 18.00 I

r Batangas ME (;.:,:,al c~~'$'r '-\1.1 I.... .... -"C-" C·~l AI)OIT 1~ ~0('II "::; J I j l' I 'I \ ,

Ii f~'7'''';'\.:''''~~O' j'1 • - \ r· ,',"i. , .:,.v ji' .. !

050il' b i.v . SM/Au ell~~__ I,

i ',f!' --·_:_Z.-iilOi/IPJ/ i_._-+_--~- ..J 1

~ __ u -=~·--------------111118

;!l

~-----------------------------------------------------------------------------------------1In case or fai lure to make the full del i very \\'ith i n the ti me speci fied above. a penalty of one-tenth ( 1/10) at' one ( 1) percent "0" j

ever- day of delay shall be imposed on the undelivered iiem/s. iI

~i

!' I n ..----::::::> RAMONCITO C. MAGNA YE,MD,FPCS,MHA 1~ Medical CenterChiefl1 1$1\ i

Con forme: _\0.!..__~_\/_O_o___:'f+-~-+-_\J_i _\JJx.._V\_v._~:....\.I_p.,__ 2. 9 N\}! !·ig.n3ture overlp.{.inte~ name otSupplier I

Date 9~ Cl') ').. 02 \ )~--------------~~~~~~~~----------------r------------------------------'~Fund Cluster: 0) l)!(S/jjURS No.: [j)-IVIIOI-6/JJ.2I·I/-am7 .i

1I1.<q\~ ~9.817,·H 7,00 _ l

(Total Amount in \},,'ords) Nine million eight hundred seventeen thousand four hundred seventeen pesos only

Vel') truly yours.

Dale of me ORS/BL'R._ :

.~1T1011nt:

~page I, I i


0 __ .......1:__ .£ ... L.._ nL-:'! __ : _"eJ,JUUIIL.UI ure r ruuppmes

Department of Health

TECHNICAL SPECIFICATIONSSUPPLY AND DELIVERY OF VARIOUS MEDICAL EQUIPMENT (REBID)

182021-0168


Specification as Technical Offer Specification as Technical Offer STATEMENT OFCOMPLIANCE

ITEM 7: DEFIBRILLATOR lModel: S8 COMPLYQUANTITY: 1 DEFIBRILLA TORI MONITOR

APPROVED BUDGET FOR CONTRACT: 400,000.00 Brand: COMENiMANUFACTURER: COMEN

Acquisition of the above medical equipment Is essential to~cqulsltlon of the above medical equipment is ~OMPLYiElssential to the management of our COVID-19

the management of our COVID-19 critically ill patients ritfcally ill patients admitted at COVID wardsadmitted at COVID wards

TECHNICAL DESCRIPTION IIECHNICAL DESCRIPTION COMPLY

High contrast TFT colour LCD5.7" (320x240 pixel) or LCD COl\.1PLYhigh contrast TFT colour LCD S.4"

7" (800x480 dots) S00x600) (Better)5 OR 10 leads patient cable !Leads patient cable COMPLYAutomatic change over when plugging the patient cable 5 Leads panent cable -Filters: 50/60 Hz, base line, EMG filters: 50/60 Hz, base line, EMG

heart rate indicatorHeart rate indicator

CO:MPLYCOMPLY

PHYSICAL DESCRIPTION !PHYSICAL DESCRlPTION jeOMPLY

Dimensions: 280-340mm x 200-30Smm x 210- lDimensions: 323mm><277nunx338mm ICOMPLY!Weight: 7.2 kg without battery COMPLY

280mmWeight: S-7kg with battery ECG monitoring

bandwidth: 0.5 to 150 Hz (.3db) with COMPLYECG monitoring lruters offbandwidth: 0.5 to 120 Hz (-3d b) with fllters off speed: 6.5, 12.5,25,50 mm/sec, (Better) COMPLYspeed: 25 mm/s or better gain: 2.5, 5,10,20,40 mmimV with COMPLY

gain: 2.5, 5, 10, 20,40 mm/mV with patient cable; auto !patient cable; auto with paddles COMPLY

with paddles - HR digital readout on the display 20 to HR digital readout on the display 15 to350 bpm (± 1%) (Better) COMPLY

300 bpm (± 2%) alarm: settable HR, min 15 bpm, max.alarm: settable HR, min 20 bpm, max 220 bpm 300 bpm (Better)

Pulse Oximetry IJ>ulseoxyrnetry COMPLYoxygen saturation range: 0 to 100% oxygen saturation range: 0 to 100% COMPLYpulse rate range: 30· 220 pulses per minute pulse rate range: 20 - 254 pulses per COMPLY

ninuie (B!ltte.r)accuracy Spoi: '70-iUO% ± i dIgits for aduits using the accuracy Sp02: 70-)00% ± 2% digits fafinger clip sensor - Sp02 Alarms adjustable (min. SOOk) adults using the finger clip sensor

COMPLYr) Sp02 Alarms adjustable (0-100%)Better

55

8IDDER'S OFFERPROCURING ENTITY

COMPLY

BIDDER'SSTATEMENT OFCOMPLIANCE

Specification as Technical Offer Specification as Technical Offer

COMPLY

NIBP

• Standard foradult/pediatric/neonatal Systolic:60-250/60-250/40-150 mmHgMAP: 45-235 /45-235 /30-100mmHg Diastolic: 40-250 I 40-200 I20-90mmHg

iNIBPMethod: Automatic oscillometricWork mode: Manual/ Automatic/ ContinuousIntetv41 Time: Adjustttble

1/2l2.5f314/5/1 0/15/30/60/9QJ 1201180J240/480mO icOMPL YminMaximum measurement cycle : A~ed; U.os~easurement Unit: mmHg/kP1i selectabletre_ssure types: Systolic. Diastolic. MeanINIDgeof systolic pressure:~dult Mode: S.3-36kPa40-200mmHg)

Range of diastolic pressure: Adult Mode:1.3-28.7kPa10-215mmhg)

Pediatric Mode: 1.3- 20kPa (10.15OmmHg)

UTILITY RE.QUIREMENTS COMPLYUTILITY REQUIREMENTS

nternal battery (Lithium)Charging time 90% - 100% at least 2-5 hoursAC 220·240 VAC, 60 HzMemory: internal flash 4 GBup to 300 hours ofECGdata, events and usage review

[Battery type: Rechargeable Lithium-ion batteryIsattery capacity 7500mAh. d.c.14.8V!sattery number: Max 2isallcry recharging~fime:!Less than 1.5 hours to 80% and lessthan 2.5 bours to 100% withequipment power ofl\500mAh)B~IUI):' backup:(Two new, fully~ged battery)~onitori.ng Mode: 12 hours;Defib Mode: 420 times (360J chargeat intervals of lminute withoutecording); (Better)

AC 1OO-i.40 YAC, 50/60 Hz.Memory: internal flash 8 OB up 500 oases of 12-end EeG diagnosisreport (Up to 5 case reports perpatient) (Bener), Trend 160 hours and Graph160Hours

COMPLYCOMPLYCOMPLYCOMPLYCO.l'v1PLY

COMPLY

COMPLYCOMPLY

COMPLY

.A.CCESSORIES CONSUMABLESSPARE PARTS OTHERCOMPONENT

ACCESSORIES, CONSUMABLES, SPARE PARTS, OTHERCOMPONENT

Printer• manual, automatic (10"pre and post recording)· Integrated thermal printer for ECG traces and events

Printer• manual, automatic (lO"pre and post

recording)- integrated thermal printerfor ECG traces and eventsdocumentation includingHR/5p02/NIBP values• paper speed: 5.25, 12.5. 25, SO mm/sec• paper width: 80 mm• Ceble with leed wlres

• 1 roll paper• rechargeable battery• user manual In Englishwith stand

• paper speed: 6.25, 12.5. 25, 50 rnrn/sec

• paper width: 50 mm• Cable with lead wires•1roll paper• rechargeable battery• user manual in English

• with stand

COMPLY

COMPLYC011PLYCOMPLYCOMPLYCOMPLYCOMPLY

56T .. '.~ ........... ~

-4', r~!~ }

ENVIRONMENTAL REQUIREMENTS. ENVIRONMENTAL REQUIREM§NJS COMPLY

Room Temperature Room Temperature

OELM:RY DELIVERY !COMPLYWithin 30- 60 days from the receipt of Purchase Order or earliest Within 30- 60 days from the receipt ofpossible time Purchase Ortler or earliest possible

timeBefore delivery, supplier must call the Materials Management Sectionfor delivery coordination to avoid non-acceptance or delay in ~efore delivery, supplier must call theacceptance. ~aterl8ls Management Section for d.e.livery

coordtnation to avoid non-acceptance or delayin acceptance.

•

-r>;



Specification as Technical Offer STATEMENT OF

ItRAINitiG1 INSiALLATION & lJTILIZATlONCOMPLLo\NCE

rrRAlNING INSTALLATION & COMPLYUTlLlZATION

Supplie.r to perform installation, safety and operation TRAININGz INSTALLATION &checks before handover. Supplier to perform actual UTILtZATIONcalibration/verification witnessed by end user and technicalinspector on testing and commissioning. Tralnil'lg of users in Supplier to perform installation, safe.ty andoperatlon, and basic troubleshooting to medical equipment operation checks before handover. Supplier to

technician shall be provided by supplier (With certificates) perform actual calibration/veriflcation

The winning provider shall ensure the availability of ~itnessed by end user and technical inspector

qualified technician and trained personnel to maintain the jon testing and commissioning. Training of users

equipmentin operation, and basic troubleshooting tomedical equipment technician shall beprovided by supplier (With certificates) Ther-vinnlng provider shall ensure the availability of~ualifled technician and trained personnel tomaintain the equipment

WARRANTY WARRANTY COMPLY

At least 2 years warranty on parts and services iAt least 2 years warranty on parts and services

Preventive Maintenance and Calibration/Verification Preventive Maintenance and

schedule to be provided by supplier within the warranty jeallbration/Verification schedule to be

period.provided by supplier within the warrantyperiod.

DOCUMENTA TlON DOCUMENTATION COMPLY

User, Technical and maintenance manual in: English User, Technical and

Language maintenance manual in:

Certificate of Calibration, SeNlce Report5, Training English Language

Certificates, Preventive Maintenance Calendar ~ertificate of Calibration, Service Reports,raining Certificates, Preventive Maintenance

[calendar

SAFETY & STANDARD SAFETY & STANDARD COMPLY

- two hand safety shock release - two hand safety shock release

_ECGinput insulation CFclass _ECGinput insulation CFclass

_internal discharge after 30 -60 sec. of standby after charge internal discharge after 30-60 sec. ofstandby after charge

MELOO~)JJ~~t/

Name and ijnat va of Authorized Representative

(Sgd.) ELIZABETH V. PALINES, MD, FPNAFPPS,FCNSPBAC Chairman


TECHNICAL SPECIFICATIONSSUPPL Y AND DELIVERY OF VARIOUS MEDICAL EQUIPMENT (REBID)

182021-0168


Specification as Technical Offer Specification as Technical OfferBIDDER'S


ITEM 1: 1 SET VIDEO ENDOSCOPY TOWER WITH 3 SCOPES(COLONOSCOPE,GASTROSCOPE,DUODENOSCOPE)ABC: PHP 11,000,000.00

The Video Endoscopy Tower with 3 scopes and accessories will be used inthe (jiagnosis, treatment and surveillance of diseases involving the upperand lower gastrointestinal tract and the hepatobiliary pancreatic areas.Acquisition of this equipment will facilitate management of abovementioned cases and minimize, if not stop, referrals to outside institutionsof our patients. Possession of this equipment is also vital in the training ofResidents and Fellows in General Surgery, Minimally Invasive Surgery andColorectal Surgery services of the Department of Surgery.

The Video Endoscopy Tower with 3scopes and ICOMPLYaccessories will be used in the diagnosis, treatmentand surveillance of diseases involving the upper andower gastrointestinal tract and the hepatobiliarypancreatic areas. Acquisition of this equipment willifacilitate management of above mentioned casesand minimize, if not stop, referrals to outsidehstitutions of our patients. Possession ofthisequipment IS also vital in the training of Residentsand Fellows in General Surgery, Minimally Invasivesurgery and Colorectal Surgery services of theDepartment of Surgery.

1 SET ENDOSCOPY TOWER WITH 3SCOPES

(COlONOSCOPE, GASTROSCOPE,DUODENOSCOPE)CoiliiUy ofOfigffi: JAPANBrand: FUJIFILMModel: ELUXEO 6000Scopes: (EG-720R. EC-720R/L, ED-580XT)

COMPLY

TECHNICAL DESCR1P110N

.. . . .' aid brightness: this function increases theaid bn~tness: mcreases b~ghtness auto~atically m areas brightness of the area where the Ught hardly COMPLYrwhere light hardly reaches m the observation screen or use eaches in the observation screen~nhancement mode for image clarity or its equivalent olor adjustment contrast: brightness, red, green,color adjustment contrast: brightness. red. green. blue. red tone chroma in ~Iue ......d tone, chroma In nine levels (-4 to +4), COMPLYnine levels (-4 to +4). contrast in three levels (-1 to +1) eentrast in three levels

(-1 to +1)

Up to date model to last for at least 3 years PROCESSORAND LIGHT SOURCE (can be asone unit or separate)

voltage: 100 to 240 vfrequency: 50/60 Hzcurrent consumption: -4.3 to 1.IAdimension fit adequately in to provide medical grade cartweight: within carrying capacity of medicalgrade cart

source: LEO digital or xenonHDTV: HD-SDL DV-D:2 or DVl or its equivalentanalog SDTV: RGB TV:l. S Video: 1, Video:1 or displayport, DVI, HDMI

TECHNICAL DESCRIPTION

Up to date model to last for atleast 3years PROCESSOR AND LIGHTSOURCE (can be asone unit or separate)

voltage: 100 to 240 vfrequency: 50/60 Hzurrent consumption: 2.0 to 1.lA

~imension WxHxD: 395 x 210 x 485mm-(including projection)~eight: 15 kg~urce:LED[HOlV: HD-SDI:2, PVI-D:2analog 501'1: RGB 1'1:1, SVlDEO:1, VIDEO:l

35

COMPLY

COMPLY

COMPLYCOMPLYCOMPLY

COMPLYCOMPLYCOMPLYCOMPLY

ZAFI~~,.. lINER STREFfWES IA "'LE QUEZONCITY

TELS. (02) 92.5-0500 J 049-S3959G5

iris mode: function to control screen brightness, AVE to ris mode: function to control screen brightness,p>MPLYcontrol brightness in general, PEAK control brightness in AVE (COntrol brightness In general), PEAK(Control

highlight areas, AUTO sets average or peak iris automatically brightness in highlight areas, AUTO (Sets average

noise reduction: NR, WHITE (low), GREEN (mid), or can pr peak iris automatically noise reduction:COMPLY

control function using camera head buttons or its NR;WHITE (low) GREEN (mid) YEllOW(high)

equivalent

I~

36

ZAn~· ~NC.9 INERSTREtIW. T GLE QUEZON en (

TElS. (02) 925-0500 I 049-53959(5

Specification as Teclmical OtTer Specifi~tion as Technical OtTer

ation mode: Off: 112/3 observation modes, can bewitched by pressing illumination button or brightness moder its equivaleptlectric zoom: x 1.00 to x2.oo (0.05 steps) or digital

ming: :x 1.00 to 5.00 or its equiValentecial light observation: BLl, BLI-BRIGHr, LeI, FICE

.r equivalent for differentiation of different tissue

lIum~cition mode: OFF 1/2/3 ob~rvationodes, can be switched by pressing the

Ilumination buttonectronic zoom: X1.00 TO X2.00 (0.05 steps)

peciallight observation: BU, BlI-BRIGHT, LCI,CE


OMPLY

reset to defaults: color adjustments, special light observation, eset to defaults: Color adjustment, speci:allightbservation, FICE lap time, intensity of the tight

FleE lap time, intensity of the light or equivalent

hake reduction mode: to obtain least blurred image Within thepecified second can be obtained, seven levels (off: 0.1 to 0.5,1-0) or automatic: adjustment when object is detected or

scan or equivalent

eze mode: fteeze view of endoscopic image data display:atient 1.0., patient name, age, sex, date of birth. comments,rocedure, hospital. doctor's name (up to 45 entries)

. dex image: when full HD monitor is connected and screenesolution is set to full HD at least last 2 to 4 index imagestored in the internal storage is displayed

ecording status: digital printer status, shooting. counter,ecordable images in internal storage device

. age quality setting status: structure emphasis, tone,Ieetronic zoom 000, lEE observation mode, focus indicator

e compression rate: TIFF: 111,jpeg, Ys, 1/10, 1120or toneDhancement cnqnivalent

hake reduction mode: the least blurred imageithin the specified second can be obtained,vailable in seven levels (off 0.1 to 0.5, I-O)

freeze mode: function to freeze theendoscopic imagedata a-isplay:patient I.D.,patient name, age,sex,dC;t6 uf birth, rv1~SSdgt:,jjiuOO6tire, h6spitai,doctor's name (up to 4S names)

·ndex image: when full HD monitor is connectednd screen resolution isset to full HD, last 4 index

images stored in the internal storage is displayed

recording status: digital printer status, shootingcounter, recordable images in internal storagedeviceImage quality setting statUS! structureemphasis, tone, electronic zoom ratio, lEE

east number of recordable images in internal storage device: observation mode, focus indicatorFF: 840,jpeg 1120: 21,690,jpeg 1110: 16,270,jpeg 'l's: 5,910 image compression rate: TIFF:1/1,

r equivalent jpeg; 14, 1/10, 1/20

ecommended external storage device: SWISSBIT SFU22048P2TO-I-MS-lll-STD . or

FU22048E3BPTO-I-MS-121-STD oreqnivalent

type of protection against electric shock: dass 1 equipment

degree of protection against electric shock: typeBfapplied part

degree of explosion protection: prohibited in oxygen richenvironment!flammable gas atmosphere

number of recordable images in internalstorage device: TIFF: 840, jpeg1/20: 21,690,jpeg 1/10: 16,270, jpeg X : 5,910

recommended extemaf storage device: SWISS81SFU22048 EIBP2TD-I-M5-111-STD or SFU22048E3BPTO-I-M5-121-STO

type of protection against electric shock: Class 1equipment

degree of protection against electric shock:type SF applied part

degree of explosion protection: prohibited inoxygen richenvironmentiflammable gasatmosphere

COMPLY

COMPLY

ZAFI~.~.S . INER STREETWES RI GlE QUEZONCiT'{tas (02) 92~500 J 049-53959::i5

r>.

IMEDICAL GRADE RECORDER (i unit) , ~ED'CAL GRADE RECORDER (1 unit)COMPLY

!Separate or incorporated with processor internal: at!separate from processor !cOMPLYeast 2.S inch IIDD (data capacity: at least 450 GB

IiDtemal data storage for images and videos) nternal: 2.5 inch HOD (data capacity:!cOMPLY

IcIata capacity: at least 450 GB, 1450GB) !cOMPLYjex.temaI: USB drive (flash memory or HDD) ~ata capacity: 450 GBto 500 GB COMPLYidiSPlay:AT LEAST 3.5 inch full color LCD dedicated for !external: USB drive (flash memory or HOD)

!cOMPLY~Isplav: 3.5 inch full color LCDecording "'ideo composite: 1.0 vp-p 750 COMPLY

video composite: 1.0 vp-p 750~ video: 1.0 Vp-p 750 luminance signal

COMPLYS video: 1.0 vp-p 7501uminance signal COMPLYNTSC: 0.286 Vp-p 7S0chrominanee signal ~ 0.286 Vp-p 750 chrominance signal

!coMPLYPAL: 0.3 Vp-p 7S0chrominanceslgnal PAL: 03 Vp-p 750 chromlnance signalso:So.SOI-NTSC(480i). PAL (5761) IsD: SO-SOI-NTSC(480i), PAL (S76i) !cOMPLYHO-SOI:1080 p, 1080 iTno p ~D-SDl: 1080 p, 1080 i,720 p

!coMPLY

OVI-O: 640 x 480 - 1920 x 1200 (1920 x 1200 will be reduced to 1728 x IoVl-D: 640 x 480 - 1920 x 1200 (1920 x 1200 will !cOMPLY1080) !be reduced to 1728 x 1080)Audio: -8 dBs 10 k Oor more, unbalance SOl Video lAudio: -8 dBsI0 k 0 or more, unbalance 501 icOMPLY

"'ideo

38

ZAFI~~4 INER STREt IWE TRlANGLEQUEZONCfTYras (02) 925-0500 I 049-5395955


Spec:ific:ation as Teclmic:al Offer

InpufTerminalLAN: RJ45 (1(:;0Base -tx}1ooo Base-T)USB-A: recording x 2 (Front USB 2.0)U;;s-~ fur PCOOfifi~oft x 1 {reat USB 2_uJRemote: 2.5 in.ch mini jackCo.ntact Switch: 3.5 inch mini jack, video x 1,photo x 1

USB DtIVi: fla~h m~mory or FlOO'format: FAT32stili image: jpegvideo compression: mpeg-4 AVe / H.264file format: movrecording time: AT lEAST 90 hours, internal HOD: 500 GB, EQ- economyqualitycompression: ["eM samplfngfrequency: 48 kHz quantifyingbit number: 16-bitoperating temperature: 5 degrees F to 40 degrees F {32 degrees F to 104degrees F)humidity: 5%to 80% RH (non condensing)dImension: ADEQUATELYFITS IN TO PROVIDEDMEDICALCARTweight: within carrying capacity of medical grade cartpower cord

MONITOR (I unit) panel:type: colour(PSI)backlight: LEDsize: AT LEAST 66.1 cmJ26.0 inchesnative resolution: 1920 x 1080 (16.9 aspect ratio)viewable image size (H x VI; AT LEAST576 x 324display colours: 10 bit colors (SDI), approx1.07 billion colors, 8-blt

colors, 16.77 million colorsvieWing angles (H/V, Typical): 178 degrees/178 degreesbrightness (typical): 700ed/square meterr.esponse (typical): ISms (black>white>black) contrast ratio (typical):

1400;1

Video signals:

inpUt termiila1s~BNC(3G-SDI) x2,BNC(composite)xl, BNC(RGB Csyncor component) xl, set Svideoxl, DVHD 24 pin x 1 or

equivalent .output terminals: BNG (3g-SDI)X2, BNC (compositejxl,iBNC(RGB C syn" or component~l. set S video xl, DVHD~4 pin xl or equivalent

digital scanning frequency{hfv): 15-75khz/24-60hzanalog scannIng frequency(h/v}:15-80khz/24-SShzsync formats: separate, composite, sync on green

powerpower requirements: AC 100-240 v. SO/60hz maximum powerconsumption: 96 wfunc;tionterminals of external control (rs-232c, GPI)

~SB Drive: flash memory or HODformat: FAT 32IsHII image: jpegvideo compression: mpeg-4 Ave / H.264file format: movrecording time: 90 hours, internal HOD: 500GB, EQ- economy quality~ompression: LPCM samplingfrequency: 4S kHz quantifyingbit number: 1S-bit~.,erating temperature: 5 degrees F to 40 degrees COMPLY

(32 degrees F to 104 degrees F)humidity: 5% to SOO""RH (non condensing) ~?MPLYdimension: 210.5 W x 88.5 H x 235 0 mm ~~MPL Y. I dl bb f t ~OMPLYme u 109 ru er 00 COMPLYweight: 2.6 kg (5.7Ibs)

Spec:ific:ation as Technical Offer

. Input TerminalLAN: RJ45 (100 Base - TX/1000 Base-T)USB-A: recording x 2 (Front USB 2.0)

USB-B: for PC connection xl (rear USB 2.0)~emote: 25 inch mini Jackp,ntact SWitch: 3.5 inch mini jack, video x 1,photo )(1

power cord

~ONITOR

BIDDER'SSTATE~NTOFCOMPLIANCE

COMPLYCOMPLYjcoMPLYCOMPLY

COMPLY~OMPLY

COMPLYI<;OMPLYCOMPLYjeOMPLY~OMPLY[cOMPLY[cOMPLYCOMPLYCOMPLYCOMPLYiCOMPLY

COMPLY

~~ ~type: colour (PSI) I...."MPL Y

[cOMPLYbacklight: LED COMPLYsize: 66.1 cm/26.0 inches COMPLYnatIVe resolution: 1920 x 1080 (16.9 aspect

ratio)viewable image size (H xV): 576 x 324

pixel pitch: 0.300 x 0.300 mmdisplay colours: 10 bit colors (SOl), approx jeOMPLY

1.07 billion colors, 8-bit colors, 16.77 million

sync or component)xl, set S videox1, OVHO24pinx2output terminals: BNC (3g-SOI)x2, BNC(composite}xl, BNC(RGB C sync orcomponent}xl set S videoxl, DViiD 24pinxi

digital scanning frequency(b/v): 15-75khz/24- COMPLY60hz

analog scanning frequency(h/v}:lS-80khz/24-jeOMPL Y~5hz

colors

viewing angles (H/V, Typical); 178

sync formats: separate, composite, sync on

jeOMPLYjeOMPLY

COMPLY

!COMPLY

~OMPLY

!COMPLY

ZAFI~Rl I f S iNC.tNERSlREET

WES IANGLE QUEZON CITYTElS. (02) 92s.4)5oo J 04~5395grJ5

Dcnt"IICltdl~ CMTITV'-."'"'''v., ..........'" 'I I I BIDDER'S OFFER

Specification as Technical Offer Specification as Technical OfferBIDDER'S


• bending capacity,leftJright: right 1211-100degrees, left 120.100degrees ·bending capacity, left/right: right 100-bendingcapacity, up/down:up 210degrees, down90to 120degrees Idegrees, .left 100 degrees

bending capacity, up/down: up 210 degrees, COMPLYdown 90 degrees

~stal end: 9.2m~Id of view: normal 140 degreesnsertion tube diameter: 9.3mm

~servation range: 2-100mmotallength: 1.400mm

~orking length: 1.100mmjrninimum instrument channel diameter:~.8mm

image size: super image "iewing direction; forwardimage quality: high definition CMOS sensor or HD/CCD or magesile: super imageequivalent mage quality: high definition CMOSsensor

physicalspecifICationsnet weight(without stand): MUST BEWITHIN CARRYINGCAPACITYOFMEDICALGRADECARThole spacing (vesa standard); AT LEAST iOOx100mm, M4. depth S-9mmenvironmental requirementsdegree of protection; IP4S(front) ip32(rear)accessories:AC power cord, Ac adapter, cable covervesa mount screwsx4, utiUty disc

GASTROSCOPE (1 unit)

distal end: 9.2mfieid of view: normai 140 degreesinsertion tube diameter: 7.0 mm to 9.8mmobservation range: 2·10Ommtotal length: 1.300 - 1.4OOmmworking lengd» 1..000fo.1.100mmminimum instrument channel diameter: 2.8 to 3.2mmviewing direction: forward image size: super image orHD or equivalent

accessories:EGOinjector (1 unit)EGO scope brush (1 unit)EGOpolypectomy snare (1 unit) EGObiopsy foreep (1 unit)Rat tooth forcep (1unit)

\":'~' -,.",. "'~--"__""'_"~ __ h 'II' -.:::.~~:'''~':1.:-~1~~·'Ilev~

'"'"""......_ '_'r.~--=-_, ~

physical specificationsnet weight(Without stand): approx 8.4 kghole spacing (vesa standard): lOOxl00mm, M4,depthS-9mmenvironmentalrequirementsdegree of protection: IP45(front) ip32(rear)accessories:AC power cord, Ac adapter, cable covervesa mount screwsx4, utility disc

~ASTROSCOPE (1 unit)

jaCI::eSl;oti- es:EGO injector (1 unit)EGO scope brush (1 unit)EGO polypectomy snare (1unit)

GO biopsy forcep (1 unit)Rattooth foreep (1unit)

"OMPLYCOMPLYCOMPLY

[cOMPLY[cOMPLY

COMPLYCOMPLY

COMPLY

COMPLY

!cOMPLY!cOMPLY~?MPLY"OMPLYCOMPLY

tOMPLYPlMPLY

COMPLYCOMPLYCOMPLY

COMPLYCOMPLY~OMPLY~OMPLY

[cOMPLYCOMPLY

·~

ICOLONOSCOPE (1 unit)bending capacity, left/right: right 160 degrees, left160 degreesbending capacity, up/down: up 180 degrees, down180 degrees

distal end: 11 to12.S mmfield of view: 140 to 170 degreesinsertion tube diameter: 11.0 to.12.Bmmbservation range: 2-100mm

total length: 1630mm -2100mmworking length: 1330mm -1700mmminimum instrument channel diameter: 3.8mmviewing direction: forward

ICOLONOSCOPE(1 unit)nding capadty, left/right right 160 degrees, Ie

60 degreesending capacity, up/down: up ISO degrees,own 180 degreesinal end: 12,8 mmeld of view: 170 degrees

'nsertion tube diameter. 12.Smmbsetvation range: 2·100mmotallength: 1630mm - 1990mmorklng length: 1330mm -1690mm

minimum instrument channel diameter:3.8mmviewing directlon:forward

accessories:colon Injector (1unit)colon biopsy forceps (1 unit)colon scope brush (1 unit)accessories:

, colon Injector (1 unit)colon biopsy forceps (1 unit)colon scope brush (1 unit)

II'P~Ol:;~~' ~-~r'ON '\1 31

1".IB;t.hh!' .. J I

By: -~-.-._...

IcoMPLYCOMPLY

COMPLY

COMPLYCOMPLYCOMPLY

OMPLYOMPLY

MPLYOMPLY

. -- ---_._-_--------- -------- - ----- ,- ----.- ..---.-~--


Specification as Technical OtTer Specification as Technical OtTer STATEMENT OF~9MPLJA!'IC;:E

DUODENOSCOPE (1 unit) DUODENOSCOPE ,-OMPLYview direction: 95 to 100 degrees (retro view direction: 95 degrees (retro viewing 5 COMPLY

vieWiIl! 5 tQ 10 degrees) degrees)

field of vieW: 100 degreesfield of view: 100 degrees

!cOMPLYobservation range: 4-60mm ICOMPLYobservation range: 4-60mm distal end diameter: 13.1mm !cOMPLYdistal end diameter: 11.6 to 13.1mm flexible portion diameter: ll.3mm !COMPLYflexible.portion diameter: 11.3mm bending capacity: up: 120 degrees, down: 90 !cOMPLYbending capacity: up: 120 degrees, down: 90 degrees, right: lOS to 110 degrees, right 110 degrees, left: 90 degrees ICOMPLYdegrees, left: 90 degrees working length: 1250mm COMPLYtotal length: 1550 to 1600mm total length: 1550mm COMPLY

forceps channel diameter: 4.2mm MAY OR MAY NOT HAVE orceps channel diameter: 4.2mm COMPLYwaterjet inlet ~ccessories:

equipped accessories: guide wire (1 unit) ~Uide wire (1 unit) COMPLYlithotriptor (1 unit) ithotriptor (1 unit) COMPLY

stone crusher (1 unit) COMPLYstone crusher (1 unit) tOMPLYbasket (1 unit) basket (1 unit)

MEDICAL CRADE CART (1 unit) MEDICAL GRADE CART (1 unit) COMPLYwith endoscope holder/hanger for 2 scopes with built [with endoscope holder/hanger for 2 scopes with COMPLY

in/integrated or separate AVR or UPS ~uiltjnAVR~heels with front locks COMPLY~ to 4 layers with keyboard drawer ~OMPLYwheels with front locks !cOMPLY

3 to 4 layers wtth keyboard drawer

DELIVERY DEUVERY ~OMPLY

30 to 60 days from date of awarding of contract 30 to 60 days from date of awarding of contract

Before delivery, supplier must call the Materials Management Section for Before delivery,supplier must call the Materials COMPLYdelivery coordination to avoid non-acceptance or delay in acceptance. Management Section for delivery coordination to

avoid non-acceptance or delay in acceptance.

TRAINING, INSTALLATION & UTILIZATION TRAINING1 INSTALLA TION & ,-OMPLYUTILIZATION

available training of end users prior to acceptance of units, to includeproper care and maintenance ~vailable training of end users prior to acceptance of

,-,nits, to include proper care and maintenance

WARRANTY WARRANTY ~OMPLY

-1 year warranty for parts and services - preventive maintenance 1 year warranty for parts and services - preventiveschedule preferably every 6 months forthe first year maintenance schedule preferably every 6 months fo

he first year

DOCUMENTATION DOCUMENTATION ...OMPLYDOCUMENTATIONbrochures and/or instruction manuals for each unit of POCUMENTATION brochures and/or instruction

equipment must be provided, MUST BEINTHE ENGLISHLANGUAGEOR manuals for each unit of equipment must be

WITH ENGLISH TRANSLATIONprovidcxl. MUST 5E IN THE ENGlI:>H lANGUAGE ORWITH ENGLISHTRANSLATION

ZAFi~.1 ~.49 INERSTREEI

WEST TRl GLE QUEZON CITYTEL$, (02) 925-0500 I 049-5395955

• .,...,VW"II.'-' .... I ••• WI..,.,,,,,, ~ ul-ra.;;n.

BIDDER'SSpecification as Technical Offer Specification as Technical Offer STATEMENT OF

COMPLlANCESAFETY & STANDARD SAFETY & STANDARD ~OMPLY

provide certificates of international standards, FDA provide certificates of international standards, FDAapproval if available. approval if available.

t,.~n~IIQltdr. J:tdTITV

uthorized Representative

(Sgd.) ELIZABETH V. PALINES, MD, FPNA,FPPS,FCNSP

BAC Inee Chairman

FUJI~ILMValue from Innovation

Multi-LED Endoscope System

6000 SYSTEMELUXEO .!JteIIIIJ111

fUJlfJlM J .

S~r. eDM BQOi(j'fQRE1141 t>Ijo St., _.~at.'~CIJ,y,

~~~M: m..nl'&'16-t)Q(l

P•." - .'Z1-. ii~.' f. lknI...,.!! .~,

.M4dIt.~,lVP '

OeII~T~ NOP.o.,"O~p~ iMn' Mda18 '¥!t ~ deii5

lID &\::.t. UtftditaH~"'~ 2Gll .'==-±--:--:,-:-T--=~-=:r.~:-::-=~-- U C=~ '. 1 ~021 (

t/. "

""""'- ...... _--.,.-_ .... '><i' ...

•

.• . , " . - .. ,

. PURCHASE ORDERBATANGAS'MEDICALCENTER

._ ~.._ .'. ~.. . ..

SUpplier: .B~SUAL sll.lill!NQI~eCk!e.[i. P.o. No. 21-11-0396-Address:

19l9una St. ergy. Bungad; San Francisco eatMonte, Quezon City Date: November 26. 2021

TIN: 2()6..926"sn..oGO Mqde of p~Y"'"tot: $VP

Gentlemen:Please fumlsh this Otnce the ~lowIng articles subject to the. terms and conditions contalne9 herein:

Ptace -of Delivery: a.teng.aa'1l8!dk:al Center Delivery Term: 'NO P.O., NO Accee!!nce

Date of Delivery: 10 calendar days upon receipt PO payment Term: 30 days upon complete delive!1

8tQCkl ,

Property Unit De8crlptlon Quantfty Unit Cost AmountNo.All Multicoated AnQiOgtaptlie iynnge 200rnJ With

pes. extension tube, Compatible with existing CT Scan 150 1,850.00 %'17,500.00tnjector

Multicoated Angiographlc syringe 200rnv100ml With.pes.• extension tube, CQmpatible wi,th existing CT seen 100 2,200.00 220,000.00

'nt'C\Qf f'"'"i Batangas i

-_ .._.----- ....-...Brand tHJd Model: Nemoto CT Syringes

,1EJ',i'''al C""ll "t r- I'j hO~ji('-,.- ~ , I... I

""" /" ,-,'o It )\} r ....!\ J • j -

! ' '- J" IIu!,) I TfIP'(i''-'jl ':-1 RF'rP'II

~'[D I.c::t;t~~~"-'"u - , Rosd!."R

r '_S~.. _' f\" ,;,~.-1 .'"' ~ J " J L.UL- 'l t'!

.I2JGfhJ2f J»e:.t:' I-_

112_' ---- 4'.iJ3. ;VGIrvn "

TOTAL 49',100.00tal Amount in Words) Four h~dred ninety seven thousand five hundred pesos only.

Ifl9iSf ~fa{fu" 19meke the full'~v~ Wfthln the timetpecifted'sbov., a penalty oton.e-tenth (tl1<t) of'one (1') percent for 'every day of delay shall be imposed on the undelivered item/so

.Very truly yours, yv

·RAMOttClTO_ C.IfAGNAYE,MD,fPCS4UHA

JEMANEL tJUK 1amMedical Center Chief! 9 NOV 2021

Confonne:Signature over Pl'il!ted name -=-

'. Date December 021 2021- - .,

Fund Cluster: Of ORSIBURS NO.: Gl";Obt)/-W ..II-tDG ~Funds Available: Iff=] ,j'UO ·bD Date of the ORS/BURS: ///,:'10/= .

. _Cg'~/q~1

Amount: 497,100.00

eARMtNA;~AAt; ,_ ~nt tV . (~

--


Supplier: NRAM CONSUMER GOODS TRADING

Blk.81 Lot 17 Las Palmas Subd. Cay PomboAddress: 3022, Sta. Maria, Bulacan

TIN:

P.O. No. 21-11-0395

601-662-404-000


Mode of Procurement: SVP_;_-------I


Plac.eof Delivery: Batangas Medical Center Delivel)' Term: NO P.O., N.OAcceptance

10 calendar days upon receipt PO Payment Term: 30 days upon complete deliveryDate of Delivery:


No.

pcs. Office Low Cabinet, and Storage with lock 5 13,450.00 67,250.00

r>. pcs. Paper Strip Cui Shredder 4 9,750.00 39,000.00

pcs. 18 inches round wall clock, analog 3 hands display 9 850.00 7,650.00

-_ .._--

111118 __ .__ 0'~ -.- trOTAL

Very truly yours,

contorme ~r. ~pn-----~-~-~--------Signature over pri~me of SupplierDate /'-1.0, -2/

113,900.00(Total Amount in Words) One hundred thirteen 'ffiOusand nine Tiundred pesos only.

In case of failure to make the full delivery within the time specified above, a penalty of one-tenth (1/10) of one (1) percent for!~ day of delay shall be imposed on the undelivered item/so

RAMONCITO C. MAGNAYE,MD,FPCS,MHAMedical Center Chief II N ')0'2.\'

i 9 ~O t:

0/ ORS/BURS No.: 02- /01101- 2[)t2I- II-rflm3Date of the ORS/BURS:-tI._ln\l "(1 'in?1-Amount: I .. OW''' .... 1'13,11~~

Fund Cluster:Funds Available: I te. 9<AH1J)

~CARMINA ~ASTiL59,CPA

A~


PURCHASE ORDERBATA'\GAS !vIEOICAL C[:'ITEH

r---~~~~~~~~~~-- __~-- __--------------------~I,_(~~~;\~':'\'JI':l~l:)vl:'~JI:,:~:.:::~:~;:XrI O:\.·\L 1'111LI PPJ '\ [S, CORP. r.o;):::: NOv~,I'~l::J:~~4~()21I'

~~;Joaqu~.~l~·i~l~ _

'1'1,· (1!)7·)7-l·04~·(l(J() Mode otPrucurement: F-II'IIUCI2021 Ir--'-.-------' --'-.----'------------------------------------------------------------------------,( i'.'l!tklih.'n:

I'k:N' Iurnish this Otficc the III IIIn\ il1~: .1J'lil·ks subject to the tt'J'I11S and conditions contained herein:

-r,

~lIpplil'J':

\ddrc's"

Bat:lJlg'ls .vl cdicu l Center Deli\ erv Term NO P.()" NO ACt:.:plilI1C('

1'<1\ mcm Term: 30 days upon complete delivery

jD":'l'l'i:,t;d" (Juantil' L~l1il (.'0'1 :\mounl I

, +---_-+- ---+_. i!

1.(11)0.1'(111. :,' !II~~~~ '.-..?"----~If

\1rII

I\ .. vote. Po \' \I 1'\"a",1.;' anuch tbc 1,'H~\\\;n!:! II ~Ippli\':;,bk i.pou dcliv cr. . Or! i! (.\'O <lillle/I1I1('III.\ () (/c·t'I.'/){(//lc·C'"f'cldit'l'IT) I III (: ~'2.~ -- II ('(rt'I'\cilll' ,,j ;':,'''I;(t RI')"I'llilll"" 1'1",,\11 !;..\ I

___ I, _j~,.:..f~l~)~l;:~::~II~~·~;~:.:I:~j~:::::.::\~:::\~'~:...:'·'c::;I.!::_~:.:;:I,-:::~~,:,::..I:C~I~~;~I~'~,::_'J'~::l~~·II.~)i'!;,;'.2~~_,,__ :_'/"i·_"_"_I,_I·_'_\_l_ L __

T:O=rA:L'i----i:OoiO,l-·--,!

_ TOTAL i,{)Ol),l)(lll.!lU __ !!__~.~r~"~I~~t1~.~~~n~1(:'I~I~I\~I~il~1~\~'·~0~1\~1~~.~1__ ~(~)~II~e~I~I1~il~li~()~Il~I~,'C:'S~.()~~~l~)I~II~Y----~~~--, ~--~~~~~~~::~~~~::~~-\

II 'Itllll\lil.:1imc 'l'~' ; li,'d above. i\ r~"all> \,1' OII1.:-I,JlII1I.1110 \ of Pile' I , pc:rcc'J11 I, 'I i

III (,hl' nl'I:,iltlrc 1<' IHaKc' lil.: [ul l dcli\,;r\ i...-, '1"\ \.;~~. \ll ..k'l,\\ ...h~tli ht~ iJ"!11'('~l!,_1 on ilh.' undc!» cred itt!1l1 ~.

l~jil\.·~t'I'I)c'Il\t\r~'

I )"Ic pl·l)..:ii\ l""):

I nil

;\EWllOH.:\ ~ClU:E"II!'''~; DEVICE(JTOA(,OI'~'n(' E\-II~SIO!\ IH.\·IC F)

J: !~:-;\lhl' 't:l1\ i:..'\"{\

!'! I .·\"1 '-;1 I \ I 1.\( III D IIOCII\,I( .\1,,1'1 ( 11·lt \'lll )',"

:'OO.tll)(J.OO

atangas MQrJ;cal Cen'cr

i\jlISSI0~ ON AUDI~

REC ED

.__ (-LL----

I OJ)._~

~. ,ul'1l'I(- ""0s2to, ,-~'. • ' 1~\H.!', ! ,_:: ,.

l,oon,()OO.lIll

...... - '\ ,, ( . i

C.'\R;\llo/~~LO,CI';\ T([(J . ,.- i/.\", ",mpnt1\ 11~'):;{rJ,' / , , !\" 1.7'< ......,.......__ ~__~ ..:.I'_.".::._:-,.',· '_: __ ~

, . :_ _.I ;:,);((:;;)ill((-;-,J~:\"I~.. l::;.:~.nln.....nl ,\\.';':' '\lI\\iJ!~ '. 1.1, dl~:l :

151 October 2021

PATH MEDICAL GmbH, Landsberger Sir. 65, 82110 Germering, Germany

PATHMEDICAL

PATH MEDICAL GmbHLandsberger Sir. 6582110 GermeringGermanyTel: +49 89 800 765 02Fax: +49 89 800 765 03Email [email protected]

Technical Specific.ations for Batangas Medical Center www.pathme.de~~~~~~~--~--~--~~------------------------~;~"~~~~~~r~:;=:~':+=~~~'~~~~-i':'~'~~~=~::With SPllevel 0-70 dB maximum is 65dbWith ~!ep·leveI1 dB Sdb steps

(SGD.)EUZABETH V. PAUNES, MD, FPNA, FPPS, FCNSP HBACHBAC ChairmanBatangas Medical CenterBatong.as City

_._ ..... ._ ... UTlll!'y REQUI~E'II..!.~~.... REMARKSPower sup~um-ion rechargeable battery -- ......----- ...-- .. ·-··-··-··-·----R;d,~~S~bj;b;;;;;4.8V(NlrV;H)·--·------'--6attery life: 500-1000 tests per charge. at least l~ hours on·tim!!: cq.mpUant., 10 hours on-time bitnerv~~ .

.-

Probe with auto.callbration ond outodotection capacity'Has AID resolution, stimulus tolerance and signal to noise ratio

~on capacityH.s.lpeas·urement r.nge from -20dB to 90 dB s,,~'- t- ..:r-"3:.:Jng"'e'-'.::..;3"'0o.,-:::6S:::d"'8'- ....With display 01 SNR and value graph compli"nt

Probe auto ",Iibrates to ear canal size

compliant

With accuracy of +1· 3d8 compliantWith replaceable probe tips .+-- --=,:co::,m::.J'Pt:;II"'la:.:_n,_t -1__ ._ .... __ .. _._ !~9~~!.·~!'.~~':.'!!~e!.c.I_~':.'!t.~_ns_ __ ....... . ... ._ . . 'l~I'._1~.~ __ . _ . .... _ .•.... __!'lith ~'!.q_'!..e.ncyrange .~~]_O.~20.l.~!___ ._. . _ ...__ ..._ .. _._ ..__ ... .. ._~_"'-~'!!'.!... .._..__.. .._.._. ._._._With dick stimulus at SOdB peSPl, and has peak to peakcalibration capacity

compliant

Probe With autoc:alibration and autodet,ection capacity Probe auto calibrates to ear canal size

I~W~it~h~A~/D~r.~s=o~lu~ti=on~-~-~~~~~~~-----~-----~~~~~co~m~np~II~la~n~t~~~--_-----J-H_.;';;.:,_m",e;;.:a"".:..ur_;;e_;.;rn..;;e.;.;n.:..tr;_;;a",n,.gee;..;_;.fr..:.on",1c.-.;:_20d=B",t;;:;o...::9.o;_O...::d;_;;B..:'-,-Pl"-t _cS"'Sd=B-=S'--PL=-'=ixedscreeningl"vel

With accuracy of +J. 3dB compliantWith Frequency response window display compliantWith replaceable probe tips compliantElth.r USB/USB micro or wlretess PCInt~rface compliantWith replaceable probe tips compliant__ . PHYSICALDESCRIPTION REMARKS()'!:~Q~_I_~y __ .__ _._.. . _ . __ _ . _.. __ . _._ _._ ..E..'?!!!plia.!!!. .._._.. _.._. .__.._Portable, 60·70 mm x 30·40 mm x 140-150 mm device dimensions 209 x 98 x 52 mmw;!gt,t:160lQQ:g-'--' ....-- ...-- ..-- .._- ....._-- ...- ..------.---- .--.-_.-.---. -- ---"--'W~~htsoog'-'---" ...

ACCESSORIES, CONSUMABlES, SPARE PARTS. OTHER COMPONENTPower Supply and ~able for Charging the Lithium-ton

REMARKS

compliant but NIMHbaneTVCable for Pc Communicatlon/Ch.reln!! compliantEartlp Assortment compliant~~o.?~.TI!!>.!'..__. ... ...__ . . .._. . .._. . ..___£'?_I'I]E!!!.n_t ..__ . _Manual! Instructions for U.se Pr_lnted Quick Guides Neckstrap I compliant, ne.ck~trap not available

f~~~~~€.~~~~=~==·:··-::··~:~-:-~:::·:~::==.:::~~=:~.=:=~--~=:;~~~~;~~~~~:;:;~~i~~~I~;;~~~;·~=·IMPT.II printer kil (including charger and thermal paper) Choice 01 Seiko or Able label printer

Oi rector /GeschaftsfO hrer:Dr.-Ins. H<lnsOswald

Amtsgerlcht: MunchenHRB 167243

Sales Tax Identification Na:DE 254491320

;~ PURCHASE ORDER r<:

BATANGAS MEDICAL CENTEk,Supplier. PATIENT CARE CORPORATION P.O. No. 21-11-0393Address: Arnhsco Bldg., MacArthur Highway, Dolores Date: November 25, 2021

San Fernando Parnpanga, 2000 Philippines ITIN: 000-265-81 1-000 Mode of Procurement: PB AUGUST 2021

· .Gentlemen:

Please furnish this Office the following articles subject to the terms and conditions contained herein:~.~.

s

Place of Delivery: Batangas Medical Center Delivery Term: NO P.O., NO Acceptance : " fDate of Delivery: 60 calendar days upon receipt of P.O. Payment Term: 30 days upon complete delivery I

iStock) IProperty Unit Descri ption Quantity Unit Cost AmountNo.

SYRINGE PUMP IUNIT Brand: Alaris CC Plus 5 77,000.00 385,000.00 ' t

: ··1- t- " I,....--..." ·~PLEASE SEE ATTACHED TECHNICALSPECIFICATIONS i ~C~~;;~ -

Be tangas Me~(C"i::COl JIISSION O~J AUOIT I ·- · .

FU~C~ ~D --

Note: RvRosa' .'1'( ~gCl(l -: _.lAJiJ '. T~;,,,lA, .

Please attach the following if applicable upon delivery I . i~! ~ 12/obl .Ullr' --_~;c?~(NO attachment NO acceptance of delivery) 111118 ---'-~ -. ~ iI. Certificate of Product Registration from FDA

2, Certificate of Good Manufacturing practice from FDA3, Batch Release Certificate from FDA

385,000~00 ':';'ITOTAL

(Total Amount in Words) Three hundred eighty-five thousand pesos only t~ 'l.ase offailure to make the full delivery within the time specified above, a penalty of one-tenth (1/1 0) of one (1) percent for 'every day of delay shall be imposed on the undelivered item/so I

Very truly yours, -

=und Cluster:-unds Available:

8

Amount: 385,000.00

~ Ipage ill i


i.~

II

·1; I..;: t

Ji


TECHNICAL SPECIFICATiONSSUPPLY AND OElIVE.RY OF VARIOUS MEDICAL EQUIPMENT 182021-011A - SETl

PftOCURING ENl1TY BIODER'S OFFER

~pod!I<."'" os TPdl .... 1Olftt RIlIll!R')'l'pttl1l<allml .., T..... k'.' OIf<-t ,,"'1\ rr.:\u, r ().'

""MYW"tIT£M 14: 5 0tIlTS SYRINGE l'lIMPA8C! I'HP 400,000.00

1Q facilitotc ittc:lU.te admlnkualion of P"t:if,ntl trtedk.tion, In Pedla.t:rit BIJUdi",

!OUM «th) floor.

I£CHNICAL OESC8!!'tJQN I1QlNIQI. DESCRI~ION COMPLY

Should hoyuutom.lliC ,n<! m.nual boW •• Should h.... At Ie", 3 Mtsof ShoUld haw ~utomatlc and tnbftlat bolus.. Shou4d howeprosJ~mmlbte ocduston pt'ffiufe. ShovJd hive wtomatk batus ttoduct1on at~••t alewbof prOl(IMm~ ocduskmpr~'tsystem '0 avoid a<:ddrnt,J1 bolus derrwry after O«:IU$Ksn lnOdenL PUmp must trlger Pump must tflaer folfowinS alarms with wui'l

toOowlrc. alarms with visuallndif,tHon: jndiaUOI'):

uaU.Klon t'r'f»uU~ A*;,n · Otdu$lon Preuur9 AlMm. KVO or 3 min pre-alarm KVO or 3 min f)fe-alMm

SyrlO&e empty and YOtum. infused alarm syrtnseo ~pty and vofume inr~ ~,lrm

lnt~mai malrunttlon..,nd 8;anery Chars-I! tow Alarm fnurnat mitfunaign and BatufV Chifgt' low

Afarm loudness control AlatmNO maim · Ah.,..m ~n¢" crcml:rcJ.

L1ne disconne-ctltd (,¥id ptKWre dtop). · INdIJcGr_<WI (rlpl<! "' ...... ""imp).

PHYSICAL DESCRlfflON J350un(W1X 121 n1ID(b)x2O(lmm(d).24ks- COMPlYOI.,on,loo. IW'iBhl 1E·SS7lO1SS830/5583S; 381 mm (W). 120 mm (H» ill mm iocludinll <lIllYbilndlo. .. emol buttery aad in'<@t'•• ed(O),appro>. puledDlIljl2.0 Ic&TE-SS7l2:381 mm (W) • 120 mm (H) .UI mm 10).approx. 2.0 kg

t.afge format ltOITFl dlsplavWfth tou.ch~n .net Of buttontt and JtIC that '''OlbIM to qultlr¥ createconlfguratlom

UTILITYREQUIREMENTS I 1~230VAC. S().6IJ H z, 10 VA (oominall.NiMIf _ COMPLYPow~.suppfy ; At: lQO.2~, SO-6O Hl, IntetnAll ~ aad rcp!o=hk. M«In oonery lire 6bon.,., (uthlum 100 bart.,.,), Sub-bon.,., (N1MHI_ox. U hou" (at S ml,/ll and bourt., 5.0 mIIb. Red",,!. time 25 hom flom2S·Cwlth. now ful!ychiltlod batt"",) il~;;c ro- ~~d!!!~.1:8 noll'" (WM" ..-h.rs_ wM AI: pc)iItW!'t wp¢V

wlth the power torn.d off). batte-ry (an be tharged to ~ iJ\·3hours..

O.OJ- 15<)ml,/ll (for S mL 'vd" ... jom • aoo ml,/ll (fo< lO,2O.11d 30 O\L~lr1Ce5}O.Ol. • 1200 ml/h (for SO/fIJ ",l syrinaes

~S~I!I(~ &ONS!!MAI!IU ~eal!~eam, Q!I!~I!~MeQ!':jE!':jI Luer lock syring", Si2es : 5. 1O.20 . .lll.•10160 rnL COMPLYluer loek svrioses SiZ6; 5, 10.20. 30, 50/60 ml ProvisIon Of with Provision or with :""dlablo clamp tor IV smod toavailabl. damp for IV stand to OC<Ur< It.. Q!Cly or""",bine.secure the safety of machine.

-r":~~'.t;..;t;-~:(J:" ~.~'. . __ '- - _ ... ~;..:.~.~ :-t:___

148

rII

ENVIRONMENTAL Rl!QUIREMENU ()'SOC)l~micfll)': ~ COMPLY

Operatlna iempetat<".' O-SOCHumidity: <95"

!llil.'a!!l 60 tU!I$ upon««iv"" Iho: P.O COMPLY30 to 60 dty) frcrn the rKeiplot Purc.hme Ordef.

Before detMwy, \l$pt~( must ~ltJ the Mattriab MlnaJemf.nt Sec.tion tot ~ryCOOfdlnatton to avoid nor...aCc.ept"aMe Of 6efty in tce:epta~.

TRAINlt:lG,IIIISTaL!.AIIQI!j" !l!ILI~TIQf:i ion!! imw:cc .end USt'! lnl..miog in operation basic COMPLYhd Uw! rr.lnl"l Lno"_ratian &Ink tnlmt.."."tf maiaialance.Usi!'rC..,..

S~ft>ty Ifld oper..at'ioo dieck before tnlnciO\"tt'

W4!!RANTY '" pnMdt c:et1iJlc:lte ror 2 ytaB w:ur.uny on fl'"'' COMPLY2 yt'M'I wantnty on plfb and ~ 'lOd 5tt\lCCS.

Wbh preventM mamt-enante sel'Yke tW\c. a year \\'illplO\~b®c~t

..QQCUM~t:l!AnON engi1sb. lisa" MoUJuoU dllJ Kf\1~-~ ("1)MPIYManuals Irwi bfochum for ese

<AFETY & STANDAIIQ with~c:rtif~n COMPLYSafety nrtitkat. from a tornp.tMt "autf'lotttyC£/FCA (tiS) /5fQC ca c:ettlfk:¥tIJ/ STO:; S ce:rtlfttilf~ orwlid det.~ eledrd andfur'tCtioMl yfety rest repoA from £J01...

~;JuJr'dNome ondSig ~ tJ!horiz«l ~ntotiw

•~ lS9d.) EUZAB£iH v. PAL/liES, MD, FPNA,FPPS,FCNSP1\, SAC ChaIrman

/ \V

,.'._,<,

,.-,'-;... \'''; ':. f· ~'.J .' .~"':-:~':"''::

~

/Ii!.. f' . I.' \

<: • I. .5 W"G!I !nt\n.,/.',-'Ii ~'( - ." f.!' '.". ',.', _ lh458ij

PR.O('6.' ~'r"'" rr

,I

149

High Stre& SouU1 Corporate Tower9"'- Avenue Comer, 26'" StreetBonifacio Global CIIY,TagU~ 1634Phmpplnest. 632.478.8881r. 632.869.9969

blt.com

OBDAugust 2, 2021

Certificate of Market Presence

This is to certify that the brand offered is commercially available in the

market for at least (5) five years.

Product Name: aD Alaris CC Plus Syringe Pump

This certification is being issued upon the request of Patient Care Corporation

for the bidding purposes at Batangas Medical Center

rosas-Manguerae der

tlon Management Solutions

Advonono the world of health• ..t

150

,r-..

CareFusion

_~'_f'-_p_r'__ j

151

I -.. -PURCHASE ORDER

BA TANGAS MEDICAL CENTE1{

Supplier: MTC-OPTO MEDIC"lNC. P.O. No. 21-1 1-0392--------~ ddr ess: 631 Ronquillo Street, Quiapo Manila Dille: November 25. 202 r I

TIN: 000-Oll4-599-000 Mode of Procurement: PB Au~ust 2021

(J e 11 t le men: IPlease furnish this Office the follow ing articles subject to the terms and conditions contained herein:

PI:I e or Delivery: Bata ngus Medical Center Del ivery Tcrm: NO P.O, riO Acceptance,Il

Date of Delivery: 60 calendar days upon receipt of P.O. Payment Term: 30 days upon complete deliver),,I

Stock/ II\opcl'l)' Unit Description Quantity Unit Cost Amount I

INo, .I

l. \: IIVAG l.ASER M.·'\('IIINF

I 1.600.()OO.OO I .600, OOIl (\(1 !Brand: l.ighuncd tl

I- I

r>PLE.ASE SEE ATTACHED TECHNICAL i

I ~pr-:(,lr'ICA liONS I- , ----- c~n~~~·-\ I1 nqas Medica -Bat, I

:S310N 0;\ AUDIT - Ico-1

. II~'"=='1"'~'\ tr to"if~ - I~ V'~' q;gaya INor~: I 05a,1 ' 1'1- .

SAil it Teim tlll_mber IPleaseattach thc_(OIIow illl:( ifapplicable upon delivery I Bv

II 121V! II 2J)_~(SO attuchrnent /\;0 IICCepl(IIICe of delivery) L); i~r! Jl=!:f2 __ -

I. Certificate of Product Registration from fDA I \1111;; -_ .. -- I:. ( ertificrue ,)fC,'od \\anlilaciurinl,; practice Iroin 1-1),.\

I- 1

J. 13<1l,'11 Release ('enilicalt' from FDA !_ ,!TOTAL 1,600,O(lO.(I0 1

- -J(Total Amount in Words) One million six hundred thousand pesos only I

r- III case of failure to make the full delivery within the time specified above, a penalty or nne-tenth (1/10) of one (I) percent 1'01' I

Very trlll) yours,

!I---t-~I

.'\ er; day of delay shall he imposed on the undel ivcred item/so

/_----~~ RAMONCfTO C. MAGNA YE,MD,FPCS,MHA<., ~ Medical Center Chief II ')(\2\- ~...__---- .1,... .., 9 '-'ON {,.\J

l' on i'nnllC: -'C=o..of.....tJt"-'-'-"IZ'---"='t._fW'-=-"X',__A-:....>'-IIc....;cM"""J]_._c""'---=o..!-p TV - ME D IC., 1f'4 v· " ,~ -

Signature over printed name of Supplier

Dille Dec.e.M ber 1., 2.DU

CARMI

, r: ....""",~'>~1- _

A(e. CAS1],.lA::O,CPAi\cCDUlllant IV

DElle' of t he (IRS RI 'RS:

l\ 111011111:

I ,;nci, ;\\aiiahk'

ORS/BURS No.: Cb-IOltot-')D?r It crout;,

NOV.? 0 2021I ,600,OOO.~~.,

"


TECHNICAL SPECIFICATIONSSUPPLY AND DELIVERY OF VARIOUS MEDICAL EQUIPMENT SeT 2

182021-0118

I' ,~:

"

",;';I "

PROCURING ENTITY BIDDER'S OFFER. <~:i

BlDDER'S 1",1

i-'T-E-M-1-7-: _l_U_N_,_:_(:_C_~e_fi:_:_,ti_':_:_~_~_::_~_:_ho_np_iCh_at-' :_a_~_:_ri_C -+l_U_N_I:_P_l:_Cse_ifi_I:_a,_tiN_on_d_~_s A_TG_eC_:_~_:'_~_:_:_af_;:_r_ic_-+-_s...:~:...;::~:...:...~~EMP"';;~:";;.~~~:",:,,~C;:_:,~;;:_!?---lJ~~ABC: PHP 2,900,000.00 ~BC: PHP 2,900,000.00 ,_l

,.,0 .~;..:,' "

---------_._-------------+-----------------..-------_ ....---

:"

~eodymium-doped yttrium-aluminum-garnet (Nd:YAG) lasers, usually Neodvrnlum-doped vttriurn-aluminurn-garnet.-switched, used to cause a photo disruptive effect in the eye (e.g. (Nd:YAG) lasers, usually Q-swltched, used to

posterior capsulotomy). forming a plasma and generating immense cause a photo disruptive effect in the eye [e.g.,localized mechanical shock waves (micro explosions) that, when highly posterior capsulotornv), forming a plasma andfocused, can destroy tissue, These lasers have built-In slit-lamp bio generating immense localized mechanical shock

. I d Q...a..S.litJ .. d waves (micro explosions) that, when highly -. 'j;~I;ro~cop.es or are coup e t cam~rS" .:~~~~Imosc_!pe ocused, can destroy tissue. These lasers have 'l'0y rxe mirrors. 'I AUi HOR~ 0 EPRE':l: \<I T!, n": \ built-in slit-lamp bio microscopes or are coupled ,~i~

'MTC 0 - ME~)I.~ .I~C. \ toaslit-Iamporindirectophthalmoscopebyflxed ~-,I 11q'Ir!l\.(.r,.l~~I:,MA!',,,:\ .I,Y mirrors, ;.~~~

,. ~III ,.. "~~tI-[r-IE-C-H-N-I-CA-l-O-E-S-C-R-IP-T-I-+~""N~"'"'._....('{r-O....ENL...Gl....~::':'~'""sl-;~~l"'"~\..,.I"":"~~t:"":l·r'~~.,..,.":~_'_:-I"}. iT..' '_\ -- --:-: --tITl-E-~-H-N-I-CA-l-D-E-S-C-R-IP-T-IO-.-N-------t---:::C-:::07'"M-:::P:::"L"::"Y-:----;· j; ~11

I E-MAil AODRE5~ Ie':> , \',!, SailO::[email protected]:;;vecalc.com COMPLy I, ~

VAG Mode \ mtc.Jhdra.cabrf:lil@gl~~' VAG Mode COMPLY .:<JQ h 'd "'"t7I-.r~S --G-' B Laser source: Q-switched Nd-YAG ""Laser source: -switc e -I-'U-' AI.:! or Super aussian eam COMPLY , h,

P fil Wavelength 1,064 nm COMPLY ,1)1'ro len

r-Wavelength shall be 1,064 nm Pulse width shall be3-4ns :~~s~ ~:~: ~,n; and 3 pulses per trigger gg~t~urst mode shall be 1, 2 and 3 pulses per trigger COMYl YCone angle 16 degrees

Cone angle at least 16 degrees COMPLYPulse repitition rate: at least 2.5-3 HZ (single)/1.5 Hz Pulse repetition rate: 3 HZ (single)/l.5 Hz COMPLY

(burst) C(burst) or double & Triple total of 15Hz Output energy; 0.3 to 10.0 mL/pulse cg:t~Output energy: 0.3 to 10.0 mL/pulse Spot size:8-10 um ISpot size: 8 um COMPLYFocus shift: 0 to +/- 500 um Aiming beam: 635-650 nm Focus shift: 0 to +/- 500 COMPLY

COMPLYAiming beam: 635 nmCOMPLY

COMPLY

i

I~ "

~Iit lamp illumination: LED or Halogen Magnification shallbe :s2Sx with or without 38x magnification LEDslit lamp illuminationii, Working distance shall be more or less at 100 mm Magnification 525x

working uistence approximately ~OOmm

I,,

COMPLYCO~fPLYCOIVlPL Y

DISPLAYS/CONTROLS COMPLYi. Selected energy is required DISPLAYS/CONTROLS., ,., ,,---___ Selected energy is required CorvlPLY11. Shot selection IS required If po,·,· ..----- ............_ I t' , . Ired COMPLY'" .. I ''\ ',.~'.f,J" -, :~ .. ,~)(J<.n;-:> ec Ion IS require COMPLY .;t'(III. Power output ISrequired .~." " .: \. we output is required ; ..iv, Sh?t counter is required. C~~~H'k<eU f), ,,, ....c ':1~'. ~Mot c bunter is required ~g~t~ .J~v. Calibration method shall b~ ~matlc. ~-tii I 'j- Ealibr tion method shall be automatic. COMPLY t ;. :!.-YIIi. COOLING REQUIREMENT"g Air:. - -PM~-- COO~NG REQUIREMENTS;Air COMPLY J :~;,~

Ct:R~E ro~""_'. ~_ IB2021-011~ SUPPLY AND DELIVERY OF VARIOUS MEDICAL EQUIPMENT SET ~ ,,:,

PROCURING ENTITYr---------------------------------------1------------------------------r-----------BIDDER'S

STATEMENT OF~7.7.~~~~~~~------------------------~~~~~~~------------------~~C~O~N;W~L~IA~N~(~;I~~~;PHYSICAL DESCRIPTION PHYSICAl DESCRIPTION COMPL Y

Specification as Tecbnica.1 Offer

System Dimensions:125 - 670mm(W) x 250 - 430rnm (0) x 65-730mm{H)Weight (Ibs, kg): NANoise (in dBAl: Noise-free systemHeat dissipation: Should maintain nominal temp and theheatshould be disbursed through a cooling mechanismMobility, portability: Stationary

BIDDER'S OFFER

Specification as Technical Offer

System Dimensions:540mmx 540mm (D) x 720mmIweight (Ibs, kg): 21kgNoise (in dBA): Noise-free systemHeat dissipation: Should maintain nominaltemp and the heatshould be disbursedthrough a cooling mechanismMobility, portability: Stationary

COJ\tlPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPL"YCOMPLYCOMPLY

UTILITY REQUIREMENTS COMPLY

lowerrequirements: lOO-240V/200-230VAC VAC 50/60 Hz\ Battery operated:

nline UPSshall be Provided Protection:...tablllzer to be providedPower consumption: To be specified by vendor

ACCESSORIES, CONSUMABlES, SPARE p~\OTHERCOMPONE~ES~E. ROX~. \\I~

, . "ReSP\ \ ',\ .\ ALllHORIZ 'Flyr.". "'':. \

Dust covers \ MiC 0 '.J _. ~~I;" ' . \ne'{~\\;;'\"<;'''' ,;

1 set Allen Key I rlUII,J.O' ST r I'"€dl RON", ..-.., .

Spare bulb- it..L.NOS.8\;)·I~r·~'· :.. NI',11 AvDnL •••

compatible WIth the, t- ,.(ci) \nlc~'{ecir.: .:... '.machine sa\e~ ,,. _. bre' <l~)q"'0" - ' .

\ tc lhc:ll d. '-'~ _ --" ..Head restraint ---:.-.--------Should be supplied with motorized

able Should provide protectivegoggles2. pcs Abraham NO-Vag Laser iridotomylens2 pcs Abaraham capsulotomy tens2. adjustable stools with wheelsAppropriate UPSbackup


Power requirements: lOO-240VAC/ 50/60 HzBattery operated: OnlineUPSProvidedProtection: Stabllizer to beprovidedPower consumption: SOOVA

ACCESSORIES. CONSUMABlES.SPARE PARTS, OTHERCOMPONENT

Dust coversI set Allen Key

Spare bulb compatible with the machineHead restraintmotorized tableprotectivegoggles

2 pes Abraham NO-Vag Laser iridotomy lens2 Abraham capsulotomylens

2 adjustable stools with wheels!Appropriate UPSbackup

COMPLYCOMPLYCOMPLYCUMPLY'COMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLY

COMpr"YCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOM.PLYCOMPLYCOMPLYCOMPLYCOMPLY

ENVIRONMENTAL REQUIREMENTS COMPLYENVIRONMENTAL REQUIREMENTS

Operating Condition: capable of operating continuously in ambient Operating Condition: Capable of operatingtemperature of 5 to 40 deg C and relative humidity of 15 to 80% in continuously in ambient temperature of 5 to 40 deg

deg Cand relative humidity of 15 to 90%Sterilization not required.---.----..- ..-------T-p--::::-:;;-- .. "W' ation not required.

CERllF~UE C'1P"l R.l'·~Vi'.PilKi~~-:~ITI(]PJ COMPLY

i c::: L...--;;:;.-,.J U~rtiiA~~ .~.. ,,~:'. _" ., - .I ----------t:RV';--I, d n ,... ·IB2(hHH.!B_ Sl PPlY AND DELIVERY OF VARIOUS MEDICAL EQUIPMENT ssr :- ~!.,h Ltv .

. ,,__,_.,-:L1 - ---- J

ideRlcircumstances

~t'O"~eo condit:ion: Cupoble o-Fbains ~torod (;Qrrtfnyoy.:tly In

ambienttemperature of 0 to 40 deg C and relative humidity of15 to 90%

C and rpl~'tive hUfT'Iidity of 150 to BO~ in idaal

circumstances

Storage condition: capable of being storedcontinuously in ambienttemperature of 0 to 40

COMPLY

COMPLY

PROCURING ENTITY 8IDDER~SOFFER~-------------------------------------------------4----------------------.------------~--------------


DELIVERY

30 to 60 days from the receipt of Purchase Order.

Before delivery, supplier must call the Materials Management Section

for delivery coordination to avoid non-acceptance or delay in

accepta nce.


STATEMENT OfCOMPLIANCE

COMPLY

COMPLY

COMPLY

TRAINING, INSTALLATION & UTILIZATION

Acceptance and Maintenance:A. During acceptance: The supplier should conduct actual testing(Qualitative and Quantitative Test) ustng calibrated analyzers or testingdevices. Witnessed by the end users and the technical inspectors.

a. Valid certificates of the Technicians/Engineers to conduct

.rvice/maintenanceI b. Valid certificates of calibration of the analyzer and testing

equipment.c. Provide Service Report per unitd. Calibration Certificates or equivalent

e. Acceptance

DELIVERY

30 to 60 days from the receipt of PurchaseOrder.

Before delivery. supplier must call the MaterialsManagement Sectionfor delivery coordination,0 avoid non-acceptance or delay inlacceptance.

TRAINING, INSTALLATION &UTILIZATION

Acceptance and Malntenance:A. During acceptance: The supplier shouldconduct actual testing (Qualitative andQuantitatIve Test) using calibrated analyzersor testingdevices. Witnessed by the end

users and the technical inspectors.

a.Valid certificates of the

chniclans/Engtneers to conduct

rvice/maintenanceb.Valid certificates of calibration of

f. Preventive Maintenance Calendar he analyzer and testingequipment."(NOTE: PROVIDE AND ATIACH DOCUMENT TO PROVE THAT THE ABOVE c.Provide Service Report per unit

MENTIONED ARE COMPLIED SUCH as the ff.)" G. Calibration Certificates or equivalenta. List of the Engineers/Technicians with their certificates to conduct H. Acceptance

service and maintenance I. Preventive Maintenance Calendarb. List of the Analyzers/Testing tools with their Brand/Model/Serial No. "(NOTE: PROVIDE AND ATIACH DOCUMENT

and its valid certificate of TO PROVE THAT THE ABOVEMENTIONED ARE

calibration),'c. Sarnple/Ternplate of Service report and Calibration certificate or

equivalent

COMPLIED SUCH as the ff.)"a.List of the Engineers/Technicians with

their certificates to conductservice andSample/Template of Preventive Maintenance Sticker maintenance

. ", Sample/Template of Preventive Maintenance Calend~ b.List of the Analyzers/Testing tools with their

, __ ~~XA.S. ~~~/Model/Serial No.and its validC E'S Il. '. "-ATtV':: cehiflcate of

O RF'",PE:,Erll -p.,IJHiOF,\ZE - n ...d r: INC .calibration)"

OPT 0 - I'lt r- ,-' •.~ '/ dM iC . q\,," \ :.:,~, c.Sarnple Template of Service report an" "'\< i>.L S T .. , •... 11 ~ ,,,,. ...:~.,. ,".' ,I,' . :'" Calibration certificate orequivalent

I ~yN(1UI;_:_(- ," -' - 1-1 '_ ____.....,.-~ 1El ~1(.)S. 013' bS' _ ." jO.Sample/Template of Preventive Maintenance

..-~-- _, UE COP)' .NlAIL AODJ1.ES; . ~;' Isticker

\

CER1\F\ . - ! F3Ies@mtc::.'Y2.carc.c?\';'r,f,l,SarhPle/TemPlate of Preventive Maintenance~ br c:r@~n)<J\ - I\ :;rotc Jhar~~_ ~_~\_____.::.., (a endar

~ \~-... ---

COMPLY

COMPLYCOMPLY

COMPLYCOMPLY

COWiPLY

COMPLYCOf'vfPLYCOMPLYCOMPLYCOMPLY

COMPLY

COMPLY

COMPLY

COMPLY

COMPLY

rrRAINING, INSTALLATION &UTIUZATION h'RAINING INSTALLATION&UTILIZATION

Pre- installation requirements: Availability of S Amp/1S Amp. Pre- installation requirements: Availability'Electrical Socket pf S Amp/iS Amp. Electrical Socket

Requirements for Sign-off: Supplier to perform installation, safety Requirements for sign-off: Supplier to COMPLYand operation checks before handover. Local clinical staff to affirm perform installation. safety and operationompletion of installation. r--':~::~;....m;::::~ ~Iil~~~ bef( e handover. Local clinical staff

COMPLY

COMPLY

I 'C;!~~b:~.......x ::,', IB~~~l-~~~;;-f.;UPp YAND DELIVERYOFVARIOUSMEDICALEQUIPMEN1SET;(

1 Q~: ,-..._-,_ ....._ ..-~..-,,-r- . - .......,-~...........-~-


Specification as Technical Offerr-----------------------------------+-----------------------.-------- ..--BIDDER'S



frraining of staff (medical, technicians): Training of users in operationland basic maintenance shall be provided. Advanced maintenance

ltasks requiredIShall be documented.

WARRANTY

o affirm completion of installation.

n-raining of staff (medical, technicians):n-raining of users in operation and basicmaintenance shall be provided. Advancedmaintenance tasks requiredshall be documented.

A. Warranty Replacement: In case of unit malfunction the bidder should D. Warranty Replacement: In case of unit

WARRANTY

replace the unit with a brand new unit within three months from the

start of the warranty period.

IB. Service and Parts Warranty: at least two (2) years for both service

~nd parts with quarterly preventive maintenance service

. Service Unit:

malfunction the bidder should replace the unit

with a brand new unit within three months

from the start of the warranty perioa.

E. Service and Parts Warranty: at leasttwo (2) years for both serviceand partswith quarterly preventive maintenance

a. In case of Unit Malfunction, Bidder must provide a service unit within service

24-72 hours until such time that the unit has been repaired or replaced.b. Bidder must have 24f7 readily available Technician to provide F. Service Unit:technical service and support within 24 hours from report via phone call a. In case of Unit Malfunction, Bidder mustor email in case of machine breakdown or as needs arise. provide a service unit within24-72 hours until

such time that the unit has been repaired or

D. Warranty Certificates; Comprehensive Warranty replaced.

Certificates, must be included and define In the contract

E. Unit, parts, and consumables should be available within 5 years.

"(NOTE: PROVIDE AND ATTACH SAMPLE/DRAFT FOR THE

COMPREHENSIVE WARRANTY CERTIFICATES)"

b. Bidder must have 24/7 readily availableTechnician to provide technical service andsupport within 24 hours from report via

phone callor email in case of machine

breakdown or as needs arise.

D. Warranty Certificates:Comprehensive Warranty

Certificates, must be includedand define in the contract

E. Unit, parts, and consumables should beavailable within 5 years.

"(NOTE: PROVIDE AND ATTACH SAMPLE/DRAFTFOR THECOMPREHENSIVE WARRANTYirERTIFICA TES)" -please see attached certificates

COMPLY


COMPLY

COMPLY

COMPLY

COMPLY

COMPLY

COMPLY

COMPLY

COMPLY

COMPLY

~y: !WIN(rr ---.~-,-.

182021-0118_. SUPPLY AND DElIVERY OF VARIOUS MEDICAL EQUIPMENT SET 2

PROCURING ENTITY BIODERJS OFFER-

BIDDER'SSpecificatien as Technical Offer Specification as Techaical Offer STATEMENT OF

COMPLIANCE

DOCUMENTArlON DOCUMENTATION COMPLY

a. Certification from the manufacturer f. Certification from the manufacturer

authenticated by the Philippine Consulate from the country of origin of authenticated by the Philippine Consulate COlvI.PLY

the hospital equlpments/ machine that the warranty should not be from the country of origin ofthe hospital

affected with the change of distributor. equlpments/ machine that the warranty

In case said Certification is not available in time of Opening of Bids, should not be affected with the change of

Bidder must submit it during delivery distributor.In case said Certification is not available in time COMPLY

b. Bidder's certificate that the parts shall be available at the authorized of Opening of Bids,

Philippine service center/s for a period of 5 years after the warranty Bidder must submit it during delivery COMPLYperiod.

g. Bidder'S certificate that the parts shall be COMPLYc. Certification from the manufacturer available at the authorized Philippine service

authenticated by the Philippine Consulate from the country of origin center/s for a period of 5 years after the

that hospital equipments/ machine has been in the local or warranty period.

ternational marketfor at least five (5) years.COMPLYh. Certification from the manufacturer

d. For demonstration/confirmation of speclficatlon during the authenticated by the Philippine Consulate

evaluation. from the country of origin that hospitalequipments/ machine has been in the local

e. List of essential spares and accessories, with their part number and or international marketfor at least five (5)cost. years.

i. For demonstration/confirmation COMPI Yof specification during theevaluation.

List of essential spares and accessories, with COMPLY~heir part number andcost.

CESI\ . '.Il';, AUTHORIZED HEY ~I:::r.~' .\ MTC OPTO - ME I)\ 118 YAI(Al sr. MAl,,:,:'6':)1 nONQLiI.lLO ST~~.:l"

\

TEL. I·IOS. 8i3 ·I~:>e : h'lAlk f'.Oonr'~", .

<"oles@rntccvecalc ...."· _

\

'" b· =qn\~I!-."·mt .jhor ,.:;.p ret a~.,_

21-011B_ SUPPLY AND DELIVERY OF VARIOUS MEDICAL EQUIPMENT SET 2


Specification 8S Technical OfferBIDDER'S

Specification as Technical Offer STATEMENT 0("COMPLIANCE

DOCUMENTATION DOCUMENTATION COMPLYPlease see attached certificates

Should provide 2 sets (hard copy and soft copy) of: Should provide 2 sets (hard copy and soft copy) COMPLY1. User, technical and maintenance manuals should be supplied in of:

English language along with machine diagrams 7. User, technical and maintenanceCOMPLY

2. List of equipment and procedures required for local calibration and manuals should be supplied inEnglish

routine maintenance language along with machine diagrams

3. Service and operation manuals (original and Copy) to be provided 8. List of equipment and procedures COMPLY4. Advanced maintenance tasks documentation required for local calibration and routine

5. Certificate of calibration and inspection maintenance

6. Ust of essential spares and accessories,wlth their part 9. Service and operation manuals (original and COMPLY

number and cost.Copy) to be provided

10. Advanced maintenance tasksdocu mentation COMPLY

11. Certificate of calibration andinspection COMPLY

list of essential spares and accessories, C01vJPLYIwith their part number and cost.-please

see attached

SAFETY AND STANDARD SAFETY AND STANDARD COMPLYPlease see attached certificate

1. Should be US FDA/CE/8IS/CDSCO approved 4. Should be US FDA/CE/8IS/COSCO approved COMPLY

2. Manufacturer should have ISO 13485 certification for quality S. Manufacturer should have ISO

standards. 13485 certification for quality COMPLY

3. Electrical safety conforms to the standards for electrical safety IEC standards.

60601-1-General requirements (or equivalent 81SStandard). Electrical safety conforms to the standards for COMPLY!electrical safety IEC60601-1-Generalrequirements (or equivalent 815 Standard),

~CESAR E. ROXAS


(Sgd.) ELIZABETH V. PAL/NES, MD, FPNA,FPPS,FCNSP

BAC Chairman

\SAR XA.S\ CE .~. p;nv·.

\ AUTHORIZED RE.IP.E~E.~,' .~:\.'

\

MTe OPiO - ME?: ~ .. ' -,,'" YI>.I('\I .. :)i:.'/'\~~~:",.~\ .

(Cdl [,oNQU\.IJ.u,$ 0'51:: "iEl.nQS.BI'l·1., _ '~~

E-MAIL AOD!1.1:5'> -a. tceyecar~.CO'1'

sale 5,-..,.m I <l@ nll'lll,::o,r.\ mtc.jh~----


Supplier: NRAM CONSUMER GOODS TRADING P.O. No. 21-11-0391

Blk. 81 Lot 17 Las Palmas Subd, Cay PomboAddress: 3022, Sta. Maria, Bulacan Date: November 24, 2021

TIN: 601-662-404-000 Mode of Procurement: SVP



Date of Delivery: 10 calendar days upon receipt PO Payment Term: 30 days upon complete delivery


No.

OffIce Table

~ pcs. Laminated wood, dimension: Height: 70-80m, 6 5,450.00 32,700.00Width: 120-130m, Length: 60-65m, with drawer lock

OffIce Chairpcs. Low back rest, Swivel, Adjustable heiaht with "',.,....., --e- I---~\.OO

rest r Batangas N E;>·:;;c.al C ~ntcr 21,900.00. CONlISSIO N ON I ,UOIT i

REC ;:lVr.: Pl.oo --:I"A. '"I --Bv.._

f1ntl7 liTl" I\ " a(~ . I 1(1t\?L.\ IIII(~

.'_--I.--.-~

..

TOTAL 54,600.00'al Amount in Words) Fifty four thousand six hundred pesos only.

I'-In case of failure to make the full delivery within the time specified above, a penalty of one-tenth (1/10) of one (1) percent forevery day of delay shall be imposed on the undelivered item/so

Very truly yours, IY'/~ RAMONCITO C. MAGNAYE,MD,FPCS,MHA

;1,fJ<?- Medical Center Chief"

Conforme: JllfD ? 9 NOV 2021Signature over p~ name of SupplierDate II-z/1 --y

Fund Cluster: OJ ORS/BURS No.: Oll: 10II0\-- ~021- 1\ - (J()Ur)'L

Funds Available: t;t/p ~1ID Date of the ORS/BURS: I\I~'"Amount: 54,600.00

CARMIN~O'CPA 'O.ct;A counta YlI~~.~ ~_.

~/-~DOH Government Accounting Manual

n~"~



Blk. 81 Lot 17 Las Palmas SUbd. Cay PomboAddress: 3022, Sta. Maria, Bulacan

P.O. No. 21-11-0390


TIN: 601-662-404-000 Mode of Procurement: SVP--------f


Plac~ of OeHvery:

Date of Delivery:

Bataogas Medical Center Delivery Term: NO P.O., NO AGqeptance

Payment Term: 30 days upon complete delivery10 calendar days upon receipt PO

Stock!Property

No.Description Quantity Unit Cost AmountUnit

Antiseptic/disinfectant, 70% Isoprophyl Alcohol,3700ml/gallon 17,100.0050 342.00pcs.

--

TOTAL 17,100.00

(Total Amount in Words) Seventeen thousand one hundred pesos only.

In case of failure to make the full delivery within the time specified above, a penalty of one-tenth (1/10) of one (1) percent forevery day of delay shall be imposed on the undelivered item/so

Very truly yours, v>RAMONCITO C. MAGNAYE,MD,FPCS,MHA

Conform. r~;;;};/"Signatureov;':m/l of sUPr".r


2. 9 NOV20Z1

01 ORS/BURS No.: Ct2~/O{JDJ-:Jd ..dJ-/'Y'IJ'r-:lDate of the ORS/BURS: II / ~q Ici2-IAmount: 17,100.00oco

I{/~~{ (~r ~_J

Fund Cluster:Funds Available: 1=1,100' QO

~CARMINA C. .rn CPAA ountant IV

!P<' t \..( '-"DOHGovernmentAccountingManual

7 {--Yl-YI

I-

~ / PURCHASE ORDERBAT ANGAS MEDICAL C_ENTEll

Supplier: lNSTRtJMIX SUPPLIER INC. pb.No. 21-11..0389AddI'ess! .v~~l-~344IPC!l.Land ~Tamo Tower> ~ N~,* 24,mal

2-21~Qm~Roees Aw. Pie Del Pilat. Mabti City ~ATI?DP.R6CuREMEN1'

TIN: .- Modeol~t: TAKEOVEROONTRACT

Gemt~en:Pl~e ~ this Office the following articles sUbject,to the terms and conditions COJltaimd herein:

P~o£Qdt~ ~pCmwr Delivefy Teml: Nfl P.O.. NO A~tance ,~:,.,'-.,.t.",".t;,,,.,, ••J,L""""'k .• ,....., .•..•en ys

P ,t Tenn: 30 days upon complete delivery!nate ofDetivery: from the receipt afPO -&:lriMiiIOiiIi:i1-ili' -~--

StooklProperty Unit Oesoripti Quantity Unit Cost Amounton

No.<; - - -

....-

lJI1It FtIJDllOSCOl#Y MACHINE, DIGITAL 1 ~7~2~OOO.OO 2~327,OOO.OO(See Attached TeciTRicaI SpedflaJtIon)

!.t.ngas M ~c1ic~1Center ICOi\/iiSSIOr ~ON AUDIT

; R~~~~D(li!l""_'_ liJ}. •• ~~~ ~~ : SAI/~ -1. Cllf't!/Jcattt rf1Tot1ut:t&~Qljji-l:J« JiDA. I 'j i.., ( J.~I/n~1 ~.?7 -1.~t:/'G~~fo-JfD;t , u ue JiFiFi -1.1hb:It ~ CtIrfI/1f1ateJi'wt.Fll4 .

- ~, ...' ..'---" TOTAL 27,327,000.08

(Total AnroWit in Words) 'l'tyenty sl!VI!IIlIfiI#on III," JJuNlNd ttPelfly seven thOllStmd pnos only.

In- offiUlure to·.. the 6$H~very withia the time specified~, a peoaIt;y, of O~e-taltb (1/10) of one (J) percent forlevery ~ of'delay:sbaU be j , ,,-1ho-utldelivered item/so , ~

I 7 ~-~ .. BAMONCITO C MAGNA YE,MD,FPCSy.'I\1HA

Medieal Center ChiefnConfonne: (lOMt ~~aL

~Q~I- P.~~~Of~~~!~ IFood ctUllter. hl r- URSNo.: ~1()lfQI"~1.Fun<is Avadabie; ~, ,Wi,Ll:!2' eo iDat.oflbe ~[JIts:

~) Amount: 27,:321, -.00CABMINA t:' __P:a.ETH..Ln.CPA ~

.L ...._.--:nk-:;r tt'~~. ~-

"epublic of the PhilippinesDepartment of Health

TECHNICAL SPECIFICATIONSNEGOTIATED PROCUREMENT - TAKE OVER CONTRACT

SUPPLY AND DELIVERY OF DIGITAL FLUOROSCOPY MACHINEOCTOBER 28, 2021


GENERAL CONDITIONS: STATEMENT OF COMPLIANCE

The brand offered should be commercially available on theThe brand offered should be commercially available on the market for at least five (5) years. Certification to be submitted

market for at least five (6) years. Certification to be submitted -COMPLY

Swapping/replacement of equivalent drugs/supplies wal not be Swapping/replacement of equivalent drugs/supplies Will nottoleralibaand will be considered as a violation. be tolerated and will be considered as a violation.Swapping/replacement of items shall be grounds for blacklisting. Swapping/replacement of items shall be grounds for

blacktisting. -COMPLYREASON: The Technical Working Group has evaluated the JREASON: The Technical Working Group has evaluated the bid

bid product. If the items will be swapped with anotherIProduct If the items will be swapped with another equivalentibrand, thus no proper conduct of evaluation was made for the

equivalent brand, thus no proper conduct of evaluation jswapped product, putting BatMC at risk. -COMPLYwas made for the swapped product, putting BatMC at risk.

Bidders shall submit Notarized certificate of Exclusive

Bidders shall submit Notarized certificate of ExclusiveDistributorship betweenl or Authority to Distribute from themanufacturer or principal Distributor -COMPLY

Distributorship between! or Authority to Distribute fromthe manufacturer or principal Distributor

It is understood that the Contractor is legally responsible to

It is understood that the Contractor is legally responsible to deliver deliver all issued purchase order/s and failure to deliver the first

all issued purchase order/s and failure to deliver the first PurchasePurchase Order as scheduled shall mean automatic cancellation

Order as scheduled shall mean automatic cancellation of the POof the PO and Notice of Award (NOA). ·COMPL Y

and Notice of Award (NOA). ,Upon cancellation, the BAC shall proceed to qualify the second

Upon cancellation, the BAC shall proceed to qualify the secondowest bidder if applicable; Of' proceed to Negotiated

!Procurement The Winning Contractor who failed to deliver shalllowest bidder if applicable; or proceed to Negotiated Ishoulder the price difference (from the second lowest bidder) of

Procurement The Winning Contractor who failed to deliver shall he item in addition to the acquired liquidated damages

shoulder the price difference (from the second lowest bidder) of-COMPLY

the item in addition to the acquired liquidated damages

\

ROMI A. j\MANZORj I, ,

Name and S/gnat I'E1 of Autllorized Representative!

(Sgd.) EUZABETH V. PAUNES. MO. FPNA.FPPS.FCNSP

SA C Chairman

34


TECHNICAL SPECIFICATIONSNEGOTIATED PROCUREMENT - TAKE OVER CONTRACT

SUPPLY AND DELIVERY OF DIGITAL FLUOROSCOPY MACHINEOCTOBER 28, 2021



PROJECT: 1 LOT X-RAY MACHINE WITH DUAL X-RAYTUBE FOR RADIOGRAPHIC AND FLUOROSCOPYAPPUCATION WITH DIGITAL PORTABLE X-RAY

BIDDPR'SSTATI(MHNTOf7Specification as Technical Offer

C:OMPLLANCI':

QUANTITY: 1UNIT

ABC: PHP 28,000,000.00

TECHNICAL DESCRIPTION TECHNICAL DESCRIPTION~~~~~~~~~------------------~

X-RAY TUBE 1 (600mA or better) FlouroTube rotation ±180°Column angulation ±40°Focal Spot 0.6/1.2Anode Heat Capacity 400kHu or better

X-RAY TUBE 2 (SOOmA) Ceiling MountedFocal Spot 0.6/1.2Anode Heat Capacity 300kHu or better

DETECTOR1 Dynamic and Static FPDDetector Size 35x43 cm (detachable/transferrable)Detector rotation 90°Detector type Scintillator detector (I.e. Cesium Iodide)Noise-equivalent dose < 0.05Relative sensitivity > x 10Fastest frame rate> 30 - > 100 Frames per Second or Better

Detector Acquisition Rate 30 frames per second or less than 2

secondsX-ray window No limitationContrast Ratio > 200Uniformity No distortion, Uniform

PROJECT: 1 LOT X-RAY MACHINE WITH p)MPL YDUAL X-RAY TUBE FOR RADIOGRAPHIClAND FLUOROSCOPY APPUCATIONIwITH DIGITAL PORTABLE X-RAY

QUANTITY: 1UNITABC: PHP 28,000,000.00

COMPLY

X-RAY TUBE 1 (600mA) FlouroTube rotation ±180oColumn angulation ±40oFocal Spot 0.6/1.2

!Anode Heat Capacity 7S0kHu

COMPLY

COMPLYCOMPLYCOMPLYp>MPLYk;OMPLY

X-RAY TUBE 2 (SOOmA) Ceiling Mounted COMPLYCOMPLY

Focal Spot 0.6/1.2 COMPLYAnode Heat Capacity 400kHu

DffiC1DR 1 Dynamic and Static FPD jeOMPLYDetector Size 35x43 an ~OMPLY(detachatle/transferrable) ~OMPL YDetector rotation 90° ~OMPl YDetector type Scintillator detector (cesium~MPL YIodide) Iro:~~Noise-equivalent dose < 0.05 ~~MPl YRelative sensitivity > x 10 k:OMPL YFastest frame rate> 30 - > 100 Frames per icoMPl YSecond or Better Detector Acquisition Rate ~?MPL Y

~OMPLY30 frames per second or less than 2 seconds !cOMPLYX-ray window No limitation IcoMPLYContrast Ratio > 200 COMPLY

ItJniformlty NO cnsroruon,UnlfOI111 COMPLY

I

PROCURING ENTITY


BIDDER'S OFFER


STATEMENT OFr,OMPUANCn

DETECTOR2 Static FPDDetector Size 35x43 cm Detachable, Wireless CapabilityResolution 279Ox3328or HigherScintillator Cesium IodidePixel Pitch 128um or smallerAD Conversion 16 BitAcquisition Time Less than 2 secondsWeight 2.5 kg or UghterAcquisition Software Communication with RFand Detector 1Water Resistance IPX6 submersible in water for 30 mins or better

COMPLY!coMPLYCOMPLY!cOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLY

Communication with COMPLYCOMPLYCOMPLYCOMPLY

DETECTOR2 Static FPD

GeneratorIntegration

50kW, 630mA/150KvConnected to 2 X-Ray Tubes

FLUOROSCOPYTABLEDimensioffi 225x159x293 max horizontal or betterTilting Angle +90 degrees/-25 degrees or betterDirnensiors 225x81cm or betterTable Composition Carbon Fiber Flat TableLongitudinal Travel 90 - 120cm or betterLateral Travel +/- 18cm or betterSource Image Distance Continuous from 110cm or betterWeight Capacity 230kgs or betterDetector Travel Longitudinal 90 - 135cm or betterDetector Rotation 90 degrees (automatic rotation)Remote Controlled Beside the Exam TableCamera beside Collimator Radiation free positioningAutomatic Collimation and Spectral FiltrationTouch Screen ControllerAuto Position Function All Table Movements, Collimation andExposure Parameters

CONSOLEDual Computer and Remote with Touchscreen and JoystickExamination Room Monitor 2MP Diagnostic Monitor

Desktop PC i7, 8GB RAM, 1 1BMonitor 21" 2MP Medical MonitorUPS

COMPLYCOMPLYCOMPLYCOMPLYCOMPLY!coMPLYCOMPLY!cOMPLYCOMPLY

~ource Image Distance Continuous from !coMPLYlSOcm to 180cm COMPLY~eight Capadty 230kgs COMPLYDetector Travel Longitudinal 160.5 cm icOMPL YDetector Rotation 90 degrees (automatic COMPLYotation) ~OMPlY

Remote Controlled Beside the Exam TablECOMPlY~amera beside Collimator Radiation free I~~MPLYpositioning ICOMPL Y

~L1tomaticCollimation and Spectral Rltration ~:~~troLich ScreenController I....OMPL Y~uto Position Function All Table Movements, ~OMPl Yk:ollimation and Exposure Parameters

Detector Size 35x43 cm Detachable,Wireless CapabilityResolution 279Ox3328Scintillator Cesium IodidePixel Pitch 125umAD Conversion 16 Bit

Less than 2 secondsAcquisition TimeWeight 2.3 kgAcquisition SoftwareRFand Detector 1

~ater ResistanceIPX7 submersible In water!for 30 mlns

lGeneratorntegration

!rubes

50kW, 630mA/150KvConnected to 2 X-Ray

FLUOROSCOPYTABLEDimensions 225x159x293 max horizontaltrilting Angle +90 degrees/-25 degreesDimensions 225x81cmtrable comoosrnco CarbOnFiber Rat[raoteLongitudinal Travel 202.5cmLateral Travel 25cm

CONSOLEDual Computer and Remote withTouchscreen and Joystick ExaminationRoom Monitor 2MP Diagnostic Monitor

Desktop PC i7, 8GB RAM, 1 1BMonitor 21" 2MP Medical MonitorUPS

COMPLYCOMPLY

COMPLYCOMPLYCOMPLYCOMPLY!cOMPLYCOMPLYCOMPLYCOMPLY


BIDDER'~STATEMENT or

COMPUJ\NC:F.

hRA~D~IO~L~OG~IST~W~O~R~KST~A~TITtO~N~------------------4RA~D~I~O~LOG~I~ST~W~O~R~K~ST~A~TI~O~N~----~C~O~M~P~L-Y~~~-·-

Branded Dual Monitor Medical Grade Branded Dual Monitor Medical Grade COMPLYProcessor core is Processor core is COMPLY

Examinations Examinations COMPLYAngiography-Venography, Digital angiography, digital ft\ngiography-Venography, Digital COMPLYsubtraction angiography (DSA) Interventional radiology _ ~ngiography, digital subtraction COMPLYMyelography, Arthrography, Endoscopy/ERCP Positioning ~ngiography (DSA) Interventional ~MPLYFluoroscopy procedures - Spine and Osteo- articular radiology - Myelography, Arthrography, ~~:t~

. .. . . Endoscopy/ERCP Positioning Fluoroscopy COMPLYAutoma~lc Image Stitching for full spine and long leg Imaging. procedures - Spine and Osteo- articular COMPLYGastromntestinal examination - Barium swallow/esophagus, ~utomatic Image Stitching for full spine COMPLYStomach & small Intestine and Barium enema and large bowel.~nd long leg imaging. Gastronintestinal COMPLY

Urogenital tract examinations - Urography Cystography exarnlnatton - Barium COMPLY, swallow/esophapus, Stomach & small COMPLY

intestine and Barium enema and large COMPLYbowel. Urogenital tract examinations _ COMPLYUrography, Cystography COMPLY

Specification as Technical Offer Specification as Technical Offer

Third party Accessories3 pes. Light weight Lead gown3 Pairs Lead gloves3 pes. Goggles3 thyroid shieldsUPS for critical components

Third party Accessories3 pes. Light weight Lead gown3 Pairs Lead gloves3 pes. Goggles3 thyroid shields

UPS for critical components

Digital Portable/Mobile X-Ray (Motorized)TECHNICAL DATA:X-RAY TUBEmax kV 130 - 150 kVpAnode Heat Capacity 300 kHUFocal Spot 0.7/1.3Low Speed Rotating Anode

Digital Portable/Mobile X-Ray(Motorized)TECHNICAL DATA:X-RAY TUBEmax kV 133 kVpAnode Heat capacity 300 kHUFocal Spot 0.7/1.3

Low Speed Rotating Anode

GENERATORHigh Frequency Battery Powered 32kW@lOOkVp lOOmskVp 40-100kVpmA Range 10-400mAmAs Range O.l-SOOmAsSingle Phase

230VAC

GENERATORHigh Frequency Battery Powered 32kW @100kVp lOOms orbetterkVp 40-100kVprnA Range 10-500mAor bettermAs Range 0.1-500mAsSingle Phase230VAC

COMPLYCOMPLYCOMPLY!cOMPLYCOMPLY!cOMPLY

COMPLYCOMPLY!cOMPLYCOMPLY~OMPlYCOMPLYCOMPLYCOMPLYCOMPLY

COMPLYCOMPLYCOMPLYCOMPLY!cOMPLYCOMPLYCOMPLYCOMPLYCOMPLY

r-' \



POsmONINGColumn Rotation +/- 270 to +/- 315 degrees or betterTube Arm Rotation +/- 180Telescopic Tube ArmCollimator Rotation +/- 90 DegreesMaximum Vertical Tube Travel 2 MetersMaximum Horizontal Tube Travel 1.2 Meters IndependentBatteries for the Generator and theMotor Battery capable of 200 Exposures when fully charged

DETECTOR (DR)Detector Size 35x43 cm Detachable, Wireless CapabilityResolution 2790x3400 or HigherScintillator Cesium IodidePixel Pitch 128um or SmallerAD Conversion 16 BitAcquisition Time Less than 2 secondsWeight 2.5kg or LighterWater Resistance IPX7 submersible in water for 30 mins orBetterBuilt in Acquisition with 17" Monitor or BetterDICOM conformity


STATEMRN'rOFCOMP1.lANCE

COMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYfcoMPLYCOMPLY!cOMPLYCOMPLYCOMPLYCOMPLY

COMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLY!coMPLY

Other Terms and Conditions.1. Attached a certificate from the suppler for the following:

1.1 2 years comprehensive warranty inclusive of X-ray tube andadditional 1 Year free Quarterly preventive maintenance

1.2 Provide Demo or Training for end-users (at least 5) and BlaMED

(at least 5) personnel of the hospital after delivery.

2. Attach a certificate from the manufacturer for the following;

2.1 Certificate of availability of spare parts for 5 years2.2 Commitment that the unit will not be affected by the change of

the distributor

Other Terms and Conditions. COMPLYl.Attached a certificate from the supplier for COMPLY

he following:1.12 years comprehensive warranty indusive COMPLY

of X-ray tube and additional 1 Year freeQuarterly preventive maintenance1.2 Provide Demo or Training for end-usersat least 5) and BlOMED(at least 5)

Personnel of the hospital after delivery.? .Attacll a certificate from the manufacturerfor the foIlowingi2.1 Certificate of availability of spare parts for OMPlYis years C12.2 Commitment that the mit will not be~ffected by the change of the distributor COMPLY

POsmONINGColumn Rotation +/- 270 degreesTube Arm Rotation +/- 180Telescopic Tube Arm~ollimator Rotation +/- 90 DegreesMaximum Vertical Tube Travel 2 MetersMaximum Horizontal Tube Travel 1.2Meters Independent Batteries for theGenerator and theMotor Battery capable of 200 Exposureswhen fully charged

DETECTOR (DR)Detector Size 35x43 cm Detachable,Wireless CapabilityResolution 2790x3400Scintillator Cesium IodidePixel Pitch 128umAD Conversion 16 BitAcquisition Time Less than 2 secondsWeight 2.5kgWater Resistance IPX7 submersible inwater for 30 minsBuilt in Acquisition with 17" MonitorDICOM conformity

COMPLY

!cOMPLY


BlDDH.R'SSpecification as Technical Offer Specification as Technical Offer ST.ATI'1,Ml~NTOF

COMPLTANCF.

3. Attach cost of rrevennve maintenance/calibration after the ~.Attach cost of preventive jcoMPlYwarranty period. ~aintenance/calibration after the warranty

period.4. Attach a certificate that the unit conforms to the International I4.Attach a certificate that the unit conforms tc COMPLYBectro-Technical Commission (IEC). ISO Standard he International Electro-Technical

5. Certificate that the equipment is brand new, unused and not a~ommlssion (IEC). ISO Standardis.Certificate that the equipment is brand new, COMPLY

discontinued model or was listed in the product recall. unused and not a discontinued mode! or wasisted in the product recall.

6. Must be at least 10 Years in the Philippine Market IEi.Mustbe at least 10 Years in the Philippine COMPLYMarket

7. Must have at least 3 or more installations I7.Must have at least 3 or more installations COMPLY8. Must be HIPPAcompliant ~.Must be HIPPAcompliant COMPLY

9. Room rreperatton and Minor renovation of RF roan and console~.ROom preparation and Minor renovation of !coMPLYRFroom and console room indudirg lead

room including lead glass 12"x12" size ~Iass 12"x12" size

DEUVERY DEUVERYMust be delivered within 60 - 90 calendar days upon receipt of Must be delivered within 60 - 90 calendar COMPLYPurchase Order. In case the unit is not yet available, supplier Idays upon receipt of Purchase Order. In

must furnish a service unit. Failure to provide shall case the unit is not yet available, supplier

automatically terminate the contract, in addition to other must furnish a service unit. Failure to

penalties applicable. provide shall automatically terminate theontract, in addition to other penalties

japplicable.

Before delivery, supplier must call the Materials Management Before delivery, supplier must call the COMPLY

Section for delivery coordination to avoid non-acceptance orMaterials Management Section fordelivery coordination to avoid 110n-

delay in acceptance. acceptance or delay in acceptance.

STANDARD REQUIREMENTS: STANDARD REQUIREMENTS: COMPLY

THE BIDDER SHOULD SUBMIT / ATTACH A THE BIDDER SHOULDBROOIURE/CATALOGUE AND DOCUMENT REQUIRED TO SUBMIT/ATTACH A COMPLYPROVE THAT THE BIOOER alMPL Y WITH THE

BROCHURE/CATALOGUE ANDDOCUMENT REQUIRED TO PROVE THAT

REQU1REMENTS. trHE BIDDER CDMPL Y WITH THEREQUIREMENlS.


BrDDl:!:R'SSpecification as Technical Offer Specification as Technical Offer STATEMEN'l'OI'/

COMPIJANCF,

1. Power Requirement for Electrical/ Electronic unit: 1. Power Requirement for COMPLYElectrical/Electronic unit: !cOMPLY

A, Voltage: 220 - 240 volts A,Voltage: 220 - 240 volts COMPLYB. Frequency: 60 Hz B,Frequency: 60 Hz !cOMPLYC. Power Cord: Dual Insulated cable, at least 2 meters ~.power Cord: Dual Insulated cable, at COMPLY

least 2 metersD.Plug: 3 prong male/female plug, Hospital Grade D.Plug: 3 prong male/female plug, !cOMPLY

Hospital GradeE. Grounding cable for the equipment with secondary E.Grounding cable for the equipment !coMPLY

grounding system. Iwith secondary grounding system."(NOTE: PROVIDE AND ATTACH IMAGES TO PROVE THAT THE '(NOTE: PROVIDE AND ATTACH IMAGES COMPLY

ABOVE MENTIONED ARE COMPLIED) IrO PROVE THAT THE ABOVE

2. Warranty 2. Warranty COMPLY

A.Warranty Replacement: In case of unit malfunction the ~.warranty Replacement: In case of unit COMPLY

bidder should replace the unit with a brand new unit within malfunction the bidder should replace the unit

three months from the start of the warranty period. r,vith a a-and new unit within three months

B.Service and Parts Warranty: at least two (2) years for both Itrom the start of the warranty period,!cOMPLY

service and parts. B,Service and Parts Warranty: at least two (2)

C.Warranty Certificates: Comprehensive Warranty Certificates, vears for both service and parts,

must be included and define in the contract "(NOTE: PROVIDE ,-,Warranty certificates: comprehensive COMPLYWarranty certificates, must be included and

AND ATTACH SAMPLE/DRAFT FOR THE COMPREHENSIVE define in the contract "(NOTE: PROVIDEANDWARRANTY CERTIFICATES)" ATTACHSAMPLE/DRAFTFORTHE

COMPREHENSIVEWARRANTYCERTIFICATES)"

3. Acceptance and Maintenance: 3. Acceptance and Maintenance: COMPLYA. During acceptance: The supplier should conduct actual A, During acceptance: The supplier should COMPLY

testing (Qualitative and Quantitative Test) using calibrated onduct actual testing (Qualitative andanalyzers or testing devices. Witness by the end users and the Ruantitative Test) using calibrated analyzerstechnical inspectors. br testing devices. Witness by the end users

~nd the technical inspectors.COMPLY

a.Valid certificates of the Technicians/Engineers to conduct a.veuo certificates of theserv ice/ maintena nce treCllnidans/Engineers to conduct

lServlce/maintenanceb.Valid certificates of calibration of the analyzer and testing b.veno certificates of calibration of the COMPLYequipment ~nalyzer and testing equpmentc.Provide Service Report per unit .Provioe Service Report per unit COMPLYo.Callbratton Certificates or equivalent ~.calibration Certificates or equivalent !cOMPLYe.Acceptance and preventive maintenance Sticker e.Acceotarce and preventive maintenance !cOMPLY

f.Preventive Maintenance Calendar ~tickerIf, Preventive Maintenance calendar COMPLY

/

PROCURING ENTITY BIDDER'S OFFERnn -,T"'\ .1)1('

Specification as Technical Offer Specification as Technical Offer STATEMENT 0[,'COMPLl.i\.NCI~

6. Others 6. Others COMPLYa. Certification from the manufacturer a.Certification from the manufacturerauthenticated by the Philippine Consulate from the country of authenticated by the Philippineorigin of the unit that the warranty should not be affected with Consulate from the country of Origin ofthe change of distributor the unit that the warranty should not be

affected with the change of distributor

b. Bidder's certificate that the parts shall be available at the b.Bidder's certificate that the parts shall COMPLY

authorized Philippine service center/s for a period of 5 years be available at the authorized Philippineafter the warranty period. service center/s for a period of 5 years

after the warranty period.

c.Certification from the manufacturer authenticated by the C.Certification from the manufacturer COMPLYPhilippine Consulate from the country of origin that the brand authenticated by the Philippinehas been in the local or international market for at least five Consulate from the country of origin that(5) years. the brand has been in the local or

international market for at least fiveyears.

d. For demonstration/confirmation of specification during the d.For demonstration/confirmation of COMPLY

evaluation. specification during the evaluation.

(Sgd) EUZABETH IIPAUNES, MD, FPNAFPPS,FCNSP

BAC Chairman

PURCHASE ORDERBATANG AS MEDICAL CENTER

~uJPtt...\ ART'''OHNLEY ENTERPRISES

Addresa: . 47 VIctoria St. huyC) Ii Quezon CJtyTIN: 234·924-389-000

Date: NovEmber 24, 20.21Mode of procurement: SVP--------1

Gentlemen:Please fUmish this Office the following articles subject to the ~ aAA CQIldltio!'\s contained- he~!n:

Placeof Delivery: 81t1ftgal Ncal Center oeliV~iYTeil'l1: NO ~_O_,NO Acceptance

Date of Delivery: 10 calendar days upon receipt PO

Stock! .Property V,..

&1ft. ...._ . _ .

I

,*,crlptton

PCS-· Computer Chair

Payment Term: 30 days upon complete delivery

Quantity UnitCost Amou.m

l·

18,800.00

(Total Amount in Words) Nln~n thousand eight hundred -pH08 onlY •

6 3,300.00

.~caseoffailure to make the full deUverywithin the time specified above, a penalty of one·tenth (1/10) of one (1) percent for-!_ 9day of delay shall be Imposed on.the undeliv~red item/so

Very truly yours,

:ionfolm&: ~...:.R:.::::·dfa;:';;:':':;;'':::':'':::~::...:...iTR:..:.::~::.::D~ES~__Signature over printed name of SupplierDate 12-01-2021

I - ----··-----1I S::ltang3s ME:' ::"=li Cp.~!~..'r ;

C ;J 1\/1 , S 31 C· i'. 1 (l;\; ,i\lJ CIT ;I

TOTAL 18,800.00

O!=und CIU$ter::ul'lds Available:

CARMINA C. ~H..O,CPAA~

rYRAMONCITO C. MAGNAYE,MD,FPCS,MHA


ORSIBURS No.: o:t-\()1I0\' :tom-,,- ~~Date of the ORSIBURS: __ !!!fIj~\!.lA;.:!!ii1~:tl.- ~.' ~~[Amount:, - - -- .19,800.00----~----------~~~~

~/:lS/1I1X ~

. ruacl;l~E'OlWER .BAl'ANGAS MEDlCALCENTER

p..o. No •. 2~ ..1'i..Q3e1

Qatel~t23i.i1Mode of Ptocur.ement: $WL ' '

Gentlemen: . .PIea$8·tUrnisb,thiac~ tbt·~ ~es.s~et~ the tem'm 8tiO ~~ cpriialrnxt~n: .

.Date ot DeflV81\(:

Unit

pes.pes.pes..~pes.pes.pes.unitS

I !QUantltyt Unit Cost

5O.W lee FLOOD LfGWfextENSIQN CORD, HEAVY DUty 50MEXTENSION CORP. NORMAL 5M

2010

is

29,101.60&.244.00

7,431.80 .-48,$43.00

.41857.20 .17,•• M·54;618.00

1.4tiS.OS.2.'624,40.

495.72488.43

495.72896.67.

10,935.(l()

TOTAL

. ca" Qf'fallUrG to,.~ tb_."n ~~)V~ wttt:nn 1he time ~ abOve,8 penalty of oo.tenth (1/10) of one (1)~nt fOrIi .' ~ day ,of delay shan bAI~~mt. ~ I:JndeHvf;lfed jtem/8. . ....

Very truly yours.

'.'t=und CIUiOliJl':Funds Ave"abte:

OI=?SlBU~S1\10.,: O~· IOIbl· ~ ~\~ ilbb'1lOate of the ORa/BURS: W\~l't1. ,.Amount: 189.190.00

OJ

- .. ~.

------ .__ ....... _ ..-.

JOB ORDER

CONTRACTOR /SUPPUER SHIMAOZU PHIUPPlNES CORPORAnON 10' OROER NO..2~-p.-038~

ADOaESS19F Marajo Tower 26th cor. 4th Avenue, Bonifacio OAT!GlobalCity,Tagulg City, 1634Metro Manila Novemnber23,2021

TIN NO. MODE OFDirect Contracting

PROCUREMENT

PLACE OF DeUVERYIATANGAi MmICAI. CENTER ~JoaoaOEll

KtiMlNTANG 18AsA" BATANGASCITV OEUYER"fTERM !!2ACCEPTANCE 01' DELIVERY

DATE Of DELIVERY 60 CALENDAR DAYS FROM THE RECEIPT OF JOB ORDER PAYMENT TERM 3Od.aysupcm.... 1I11AI'U

PROPERTY PB2lEs;I DESCRIPTION gYAN'W! YrmNO.U!'!tITCOST AMOUNT

PfaventIve Mllntenanca SeMce ,&Cailbratlon Of 3 X-RayMachineShimadzu Flexaviskm tiS 1 lotSRIt. 4109cad220OS

119,900.00 ' 119,900.00

~ Shfmadzu MUX-l0SIt It. 0362P84402

1 lot 144,900.00 144,900.00

Shlmldzu FlexaYfsion SFSR ,,: SO~10'4t109g' 1 lot 74,900.00 74,900.00

JlOPEOP~K:Cleanlnl of the unitChecking of parts of the machineAccuracy checking/outputeheci«lns/calibrationPASSthe functiona test .. ' ~(:~~~~---'\TtRMS GFREFERENCE I B atanqas fv18:,;ic .... ." ~.. \,.

1.Seml-annual PMS '1 CC ;'JIIS3iOi'j 0 I AUDIT j2. With emergency' ~palrs/calls assistance ,within 48 hours upon call R '~,1'-", i("" " ~"D'tCL ':. \' .t•• t!

3. Shall submit eorrespenelinc serviee report &• \:.I. ' • ;~ !.su... \

calibration report, to indicate findings and G) : : ,; q,.,}s~··t:") , I

~ comments & ~col'nmendation : i\t ,,: _ SAlTA~!-JijJIJ~.~_ !r 'I III I " --- iJ1 ~J..--- .

5. Shall be bitled every accDmplished PMS

Qrlnd. and. MQQeh ShltnHIU .- - . ..-- ,_._ -.- , , ' 'TOTAl AMOUNT 339,700.00

(TOTAL AMOUNT IN WORDS) TIltH hundred WrfY nine thousDnd.wm hundred pesos only.

Incase of failure to make the fulldelivery within the time $pedfted above, a penalty of one-tenth (1/10) of one ~1)percent for every day9f t;le!ay shaH be ImI?QSec! 9" the undel!Vere~ ~elll/!!!:· ~

Very truly yours,RAMONCITO C. MAGNAYE,MD,FPCS,MHA

, -----"-Medical-f-rt.r ChiefII,,,," ~ III A 1 A 1'1 GAS "~~,,, (' ,\I. C [N" V XI

.....,." order and.oId m,.. ~ ... co... _ •... pu~~d 'n .... ,R IEeEl VIEDgeneral and special conditions 0 the Q/cartvass Proposal. I' ~ . ,"'::.. ..!t . '.Conforme: JOSB RICO I. ME CApe> JR. " ENGINEERING ANI) FACilinES MANAGEMENl '

Signature over pr~_name of Supplier Ir~AM(;. ~v.~~'~ oate '01 DEC 2021 ' f 1I),~--" ~q.u_i nAT· V I,M'" , ...

Fund duster: Or: - 4()~'Ifl- ~~H/~ acuFunds Ava~ab1e: ~~ 7P"-~ oate ofthe DRS/BURS: IIUnl ?!"lI ')rr~r

Cp\ . 4Cf Amount: ~",rw~60eMM'~~~~CPA 111'i}.M~1

_.'7' i

' ,

co n9 .. EfflieUVe DIIte: ectooer "17', ","11""

ThIs is It computer generalBd form, NO SfMlmping needed. Rev. GO

~ ...- PURCHASE ORDER


Supplier: PATIENT CARE CORPORATION P.O. No. 21-11-0385

Address: AMHSCO Bldg. Me Arthur Hi-way.Dolores Date: 23-Nov-21

San Fernando City, Pampanga Public BiddingTIN: 000-265-811-0000 Mode of Procurement: JULy 2021


Place of Delivery: Batangas Medical Center Delivery Term: NO P.O., NO AcceptanceDate of Delivery: AS NEED ARISES Payment Term: 30 days upon complete delivery


No.

FULLY AUTOMATED MACHINE FOR BACTERIALIDENTIFICATION AND SUSCPETIBIlJTY

TESTING: to include all accessories and supplies suchas sterile test tubes, normal saline solution!

r=>. susceptibility broth, calibrated pipette, pipette tips withfilter, nephelometer/ densitometer, identification andsusceptibility cards/panel.quality control strains, start

up kit., computer and printer. Machine must be installed 8atangas Me _l:ral Center Iand procedural demonstration must be done. MachineCOi\tiISSION -

must be provided with UPS andAVR. Technician is Or,) AUDITalways ready to come in case of machine breakdown REeE ·VEDincluding the database software. to include quarterly

.s~preventive maintenance and machine calibrations. Must f y 'm 1i1,~111 r: einclude certificate of warranty and material safety data ill" ti 'n" nn~1sheet. 111.8

,I/:/ID" __ ··M_ .--_...._

BD PHOENIX M50 USA, Becton and Dickinson

~~SUBTOTAL -

, ..tal Amount in Words)


I~Very truly yours, tv

RAMONCITO C. MAGNA YE,MD,FPCS,MHA

Conforme: C}Js1"\JN ~ ~\,LO '1.r tP ~ f Medical Center ChiefII2 9 NOV202lSignature over p ~n

ed ~~ro1r~!i:fDate

Fund Cluster:V

01 ORSIBURS No.: D:2~/~'-l-tttJ!j-()O~-G ~Funds Available: Date of the ORSIBURS:

(Q; Amount: -~CARM1Ntf'~ILLO,CPA

cc tIV "/~1~"J( ~ page 1of2

D ~ © 2b. 'Jl,WH~1ffivernment Aocounting ManualI\J~(; () 2 2021 ~

E3,(:--~-~----

- r<;PURCHASE ORDER r>.

BATANGAS MEDICAL CENTERSupplier: PATIENT CARE CORPORATION P.O. No. 21-11-0385

Address: AMHSCO Bldg. Mc Arthur Hi-way,Dolores Date: 23-Nov-2l

San Fernando City, Pampansa Public BiddingTIN: 000-265-811-0000 Mode of Procurement: JULy 2021

Gentlemen:

Please furnish this Office the following articles subject to the terms and conditions contained herein:-. .. . - . - -Place of Delivery: Batangas Medical Center Delivery Term: NO P_O_,NO Acceptance

Date of Delivery: AS NEED ARISES Payment Term: 30 days upon complete delivery


No.

test a. identification and susceptibility testfor gram 800 590.00 472,000.00negative bacteria Box of25

test b.identificationfor yeast Box of25 200 295.00 59,000.00

r>. test c. identification and susceptibility testfor 600 590.00 354,000.00Staphylococcus Box of25

Carts Cefinase Sensitivity disk 5 2,000.00 10,000.00

Bottle Aerobic Blood Culture Brothfor Adult (40ml) 800 250.00 200,000.00wi resin, Box of 50

Bottle Anaerobic Blood Culture Broth for adult 800 250.00 200,000.00(40ml) with resin, Box of 50 -- ._---_.

3~tangas Mf>cJi al CenterBottle Pediatric Blood CuLture Broth 80Pc JJ\II~~~!\1 C ~J AuoliOt ,000.00

(40ml) w/resin Box of soRECEI' ~D( !iQ attachmenJ NO acceptance of delivery) -

KO. ';/1. Certificate of Product Registration from FDA ry : eM/A,' -2. Certificate of Good Manufacturing practice from FDA i I·~. 12/0 1/ J.D21 -3. Batch Release Certificate from FDA IIII '" ":Im'-~ ---. -

- - -TOTAL 1,495,000.00

(Total Amount in Words) One million four hundred ninety five thousand pesos only.

In case offailure to make the full delivery within the time specified above, a penalty of one-tenth (1/10) of one (1) percent forevery day of delay shall be imposed on the undelivered item/so

( VVery truly yours, r


r:}.§V1}t cf.~ 5 - (/)1) r Medical Center Chief II

Conforme: 2 9 "NOV 2021Signature over Prirt~ name of Supplier

Date tL-ID) /--u IFund Cluster: 01 ORSIBURS No.: CfJ-/Of{J/-:2/-/I-lW.'?VFunds Available: I I.!1t. em .OJ Date of the ORSIBURS: 11/25/21

«s: Amount: 1,495,000.00'OJ)}

CARMINA~~~.CPA "Ii>Z.7f~c;l1 .c.: pageiof2Ac ountanDOH Government Accounting Manual

'{:~''"iI ;3~1ir'C:-,.. . ---~'..-.-, -. ~ -, ,.'

PUR.CHASE ORDERBATANGAS MEDICAL CENTER ,

" "-

UNlTED HARDWARE .. GENERALSUf,tprrer. MeRe'-rfANOlt! - P.O. No. ,~~.,..11~M ' :i

Addrua; au D. s.ltngSt.",9ataJ)1!! City ~: N'ov~,23: at:.t'·11M: @.29C)..111-oQO ' .. Mode Of Proeuremeftt~ 'svp '

~

~~ot~" fumilh tOi$ 0ftIc:e the, fc?llow.lnQartfdeS subjeCt,to U)e terms af)d conditiOna eofttailled helein:

Bl'tiftPs Medicalc.nter '..

Place 01Delivery:1:C:

OeuvefY Term: NO P.q" NO fdNeptant:e. . •• 1 z_:_ tiff

Oat&of Delivery: 10 ca~ day$1.Ipon teeelflt PO Payment Term: ,30 d8l$ upon completedel~ "- ._ ......

Sfoctrl- .

Propert-I Unit Daacrtptlon Quantity Unit Cost AmountIY ... ..'

#12 AWG THHN WIRE,

3,400.00 21,200_l,. Oxs. S~10 AWG THHN wtRE

.bX$. .3 ·5,000.00' 1~OOO.OO~. ELECTRICAL TAPE SO 35.00 1,0&0.00pes.• PLASTIC MOULDING 30 100.00 3,000.00

UQUtD NAIL 100 aAA.MSr..:~t;~~~s-r\1ec1i~;C~1----paCl(! It('r6 75.00 .G.GO

>

'.~ COivlISSIOi\l ON A JDIT,

I RrE'C--~yl-"~1.-, f-' ,'> ¥~,l. ~ ~:...,

I PI' : Rosa!!, ,.II:,'wga,1- ',~(! . -5At,rw

" ');'/fiJ.'T'J OJ}, 1111~" ._ .Ji:~_

.. ---.- , _.- .---- .

TOTAL "',7QQ.00.... -_ ..

(Total Amount in Words) Forty six thousand seven hundred pesos only..., ..

fn cue Offailuna to make the flIU delivery within the time specified above. a penally of one-tenth (1/10) 01one (1) percent for,----..., day of delay shall be imposed 9f1 the undeJIvered item/so

,Very truly yours, I"v.

J

(.lJhfi~RAMONCrrO C. MAGNAYE,MD.FPCS,MHA

Medtcat Center Chief 112 9 f.~r.'• "I~, '\ i"ii' tAt(h1J~(ft. ,,~

11 \.

Con~: J)fS ~Signature alter printed name of SupplierOate '" l2. f)~f ">1

Fund Cluster: .01 OR~~tJ.RS No.: crt·1bIJf)l·~~ n·' 00b7C>F~ Avauebte: s~ Date of the QF§ff3URS: lU3..(;,!iJ

'CJV;(JAmount: 46,190.00CARM_7:: CPA

A'- Id~1 ~

~l&f&j6J1 \_; ~ , .ooH ~tAecoIUftUrg MIUUUItli c: 0 J "r r: I_oJ -J { ..h. r

.-~~ ..--~----~----------------------~---+----~~----------~jIC$. 1:5 GAD- -~,., 1.00

pel. ;fItMJ.:act_ ~=------- 'U'Ol _m

1"\nIl~1M •• . -)

r

PURCNAS& ORDER , [~'"

BATANGAS MEOICAl CENTERSUpplier: MAXIMUM &o"LUTtONl CORPORATION P.O. No. 21·11..os82

4F AcciieraridO _.111 sen:eli PUyatAve.Add ..... : MIk.UCIly

damDate: November 22, 2021_ . .. - z .~ 7S7~

liN: 21~223=725-00000 Mode of Procurement: SVP._ II!!!ie!I!I!w !!!'!!I _ _:'_'!I!!!!!!!!' Os t; .,.:L.~' --!!!!! - -~~..'

Genuemeri:Please furnish this omoe the following articles subject to the terms and conditions contained herein:

Place qf~!Yi I!t!np•• MH~I Cent.. Delivery Term: NO P.O.• NO Accepta~

Oats of Delivery: 1-5 calendar dGy.l upon receipt of P.O. Payment Tenn: 30 days ueon COMPl&t$ d~liye!l


No.

unn.s DESKTOP COMPUTER 17 49,000.00 833,000.00.. • Optiplex 3080 Micro-Intel COre 13·10105T• ProCMIor 18GB OCR.. J 256 GB S50• Deii P2219H 21.5 Monitor ! --

~81 cp.n;-;~'" • Eaton 5L650 PH UPS I Bat ngas Me":• Eaton 5L 650 VA USB CO,\ ;S.::I(~.'! '-;,·1 AUDIT;• 230V PH 6501360

~

-.....,..,: ........~.... "" ~ I

~r:-;-,:) ,

• Warranty:1 .',.'!.l- v u..... :;L~

A. 3years ~rofeaslona'SUppOtt .;.:I Q ne ~~M'~I:"3va8y ..J. ._SAI: ! iear, I Mt:l:oel

B. Parts R_cement:.)\~("I \'~ __ -,;,10 1/ oal '. ,:'I

C. Onsite Repair ~'1.tt*,,,e lI IllIG ~~;,I~~:1..-;;;~.l~....,. '.. ,

- ID. Next Business Day Onait. Service .,__, , .'---.c="_ ..--~---.1

- .-83.~JOOO~QflTOTALt

(Total Amount in WordS) Eight hundred thirty three thousand pesos only.

n case of failure to make the fuU delivery within the time specified above, a penalty of one·tenth (1/10) of one (1) percent for...</8ry day of delay shall be impoSed on the undelIvered Item/s.

6

Very truly yours,

N/1 RAMONCITO C. MAGNAYE,MD,FPCS,MHA

f!~~ Medical Center Chief UConforms: +~YS l ON I~~~~~IC, ..

Signature over print8c:Lname Of SupplierDate December 1! 2021

(). r{I~ f'. .b ~.-.-i;>

Fund Cluster: d [~~~~R;~~~-----~-KlIIO(' 9.01/' "~tMIU>-Funds Available: Bz~ tftV·t\f - . Date of the ORSISURS: 1111~ln, .

CARM~.CPA

Amount 833,000.00

~

~/l1~~," ....,~- - - ,._._., .._ . . ._.H - - .... _.,. • H ,._ .. ... - . ", ... -.- ..

" -

, .PURCHASE ORDER

, ~BAUNGAS MEDICAL CE~Elt'

_.o".. P.o. No. ": 21-U-0379

_" Darr. 'November ~2WI"PD June 2021

Bata!lP' Medieal Center "De1ivetyTerin: _2P.O .. l!U!~As nOO(i arises Payment Term; 31)~ UJl2n compl~ delivery

o

SPINA£NBlIDl..B, 02,1.STERILE, STAlNLP.ss'EEDLE,. STERILIZED B-YETHYLENE OXIDE

PIECE,. GAs,-QUINCKE TYPE, MCBRIDE. ONISIS· .CORP~JAPAN

," . SP~:NEEDLB, Q2.2.$TElULE. S~"~m,NElfutE. S~1ZEo BY m:H.YLENEOXIDE., GAS..,Q.VIN~ TYPE.MCBRIDE.UNISIS.,. .

, ",' CoR:P:;JA'YAN ' ., "'. J'~ .;

50

50

50

49.00

49.00

49.00

'"

2,450.00

2,4S0.00

2,450.00

4,900.00

q

PURCHASE ORDERBATANGAS MEDICAL CEN'l'ER

p.o. 0. 2l-u..o319-, > " n.Cet, Nt1ft'JDbet,22,. 20:!1' . """

emen; _: ' 'PItaso tbrttiSb dm OO1ce tbt foUo\v.log artiCles sub ~ to dw tcrnw andC!<lMldi~ ~ her.in;

0.... Medical Center D61iveryTf!tm: MOP.O .. !!2~.v.m;cd.arises p~ Tenn' 30 d3)'! t!pO!! compt;tc dclwery

Quantity Unit Cost

SPINALNEm>LB. G2S. STERILE. STAINLESSPIECH' 'NEEOt.EisiERiUziID BY ETIm..E}\m'OXIDE ,.

lGAS.Qllll'l_,CKE TYP5;. MCBM>~ QNI$IS

! CORP»> JAeAN ... Sl'. ,.

""".. "'.1 __

12.2SI},00

100 49.00 4.900.00

By

J7,150.00

,; -

PURCHASE ORDERBATANGAS MEDICAL 'CENTER

Supplier: BATMC EMPC P.O. No. 21-11-0378

Address: Kumlntang Ibaba, Batangas City Date: November 22, 2021TIN: . 006-024-980-000 Mode of Procurement: SVP





No.

F:ood for Vaccination on November 23, 26 toDecember 2,9,7,9,14,16,21,23 and 28, 2021

~ packs Lunch 550 140.0077,000.00

'paeks . Coffe 3-in-l·(30pcs/pack) 200.0014 2,800.00

packs Milo (Sachets/pack) 28 130.003,640.00

packs '. Paper cups, (50pcs/pack) 20 65.001,300.00

---,

Batangas Medical Center_ ""' '"'IT

\,_,UIVI10'::>IV'" '-' 'I nUIJ

TOTAL 84,740.00"".-'!"'>I..' (Total Amount. in .words) .Ei~ hty.fQu~1i"" ~L~t;U.li.t:UIldr:ed.fc rty _pes.os.only.

rAil,,"&; -v.::J:?'::' .

~h case of failure to make it e bY)); .~el~Vt;;'y WI-ll~ln!''''V t. Wot peclfled above, a penalty of one-tenth (1/10) of one (1) percent for,ry day of delay shall be irrpi se~on the U"Ut:MVt:[~~~_m/s.l une __ '

Very truly yours, W~l

RAMONCITO C. MAGNAYE,MD,FPCS,MHAMedical Center Chief II

Conforme: ty)/lO(:M. f I r~mh.lg E~,~~~:;'3NOV 2021Signature over printed name of SupplierDate 'r 2,] '~I _. /}.l(], ~::~

D\LJ .; V""- -L~ ------_:::v a' "'

Fund Cluster: ORS/BURS No.: O~-\tll~I' 1Ul~·II- ~/r;3Funds Available: QU, 14.0 .!IV Date of the ORS/BURS: u\d'7\?)

.q Amount: 84,740.000ctJCARMINA C;~,CPA

Acco tant f¢~~~ -:~


"


Suppler: TOUCHSTAR ENTERPRlS£S

Aiid ..... : ,1116 O. Q@9Qfl()lSt Sirf--a!ong, M.f!t9. Manila

rtN: 2:41..414,&6~..QOO

P.O. No. 21-11.0378

Oate: November 19, 2021

Mode of Procurement: ..;;;;s..;..vP;..._ ~

Gentlemen:P4ease fumlsh this otftCe ltl91olloWlng ar:tides ~ to the terms and oonclJtfOn!~eontain$d herein;

Place of DeHVEJry:

OatQ, Of D6liV~ry;

I

stocklproperty

No"Unit

OeIiveryTenn: NO P.O., NOAsc:ePtance

Payment Term: SOd!!! ~ complete delivery

Bltang .. ~cal Center

349.88 3.4,988.00

Ducrtptlon

I

tssts D-Oimerteat, Point Care TestingBrand and Model FA 100 lifotronic

'Warfinty: 6 Months

100

34,-988.00- TOTAL{Total AmQ~ntin Words} Thirty foUr thousand nlQe hundred etghty eight pesos only_

In case of faBure to mak~ tM fut! deIlVery within tt1fj tiin& specified above. a penalty of one-tenlh (1110) of One (1) percent torevery day of delay shaii be imposed on the undEJIivared itemis.

Very truly yours, ~

RAMONCITO C. UAGNAVe,MO,FPCS,MHAMedical Cp.nter Chief "

}2 3 NO\} iul'l

~SlBURS No.,: I'l?../OIIO/":2/wllw()()l ~c.;Date of the ORSfBURS ,11.2.~ /.2/Fund Cluster:

Amount _;;:..M;.;.;,";;.;;;.;;... ;...;.OO~

...."..~...._ ....-.-l'l".~...._

" ~~;"

l)cscHpti<lli

EDTA mkrc}\i lies. O.Sml, {(JO'S/box.InI/)/·omi,Ji. (,'hitm

bt»: Eryt~ Sedimelfi(ltiol1.Rafe· (ESil)·Piptt:(t,,~l(}(j~'t lmptovt, Clfil10I'botlle :Giemsa .~'(Jin.JL

I lWedic. Philippines

• Qr,llie Oral Gtucose SQiUlion. 75 gramsMedic. Pltilippines

¥i!J/o\t) lOp. Improve. ChinaJ.5mJ JO(}sIJray

pack Bille tips. lO(){)/pack r------Boeco. Germany

Jo

20

300

1,000

.3D, O(j{J. (}(j •

600.00AmotmJ. t

J().O()().~l

3,OOfJ.OO

5.000.00

97.00

655.00

500.00

~---------

0. _ ! :U~ll..cnn.!....._ 19-;~"ll

UnltCMt

8S$.500.004 1.610.00

1 J,000.oo

20 6.700.00

Amount

5 1.600.001,045,940.00

8,000;, (}(J

~cimt!n loop Iul.+ incorJ_)()YOled 30 1.300.00 19,(J(J(J. 00inJil:'idual peel pack. sterile x25Q·.~

.' Nil'lgbo FO,l omed

individual 30 850.00 15.50(1.00

850.(}O

'E f'ORWAREO

J.600.00

Quantity

30- .f. 750: (}fJ

30 4.1jO.OO

25 1.400.(}O

I'lbsma Reagi,l, 100s/kit,Carbon Antigen. RP R

IYn.tltnM ~"Irol RPR Negative,c»d Pipettes. Dispensingand needle

1

1,/4.1,'40,,00

14ZJW IIO

1-l2,JOO(,/()

J.li)(;.CjJ

1.467J40.00

ofo~{!)~tf~

, 1

;; I

A(TI iiU.i\. ;\,1( ) d it' ,,:,:()i f"',) I r~) 01ORIGIN: (,HINA

to~lake.the tidl delivery withm the ime specified ilbvViJ. a penalty -on~~rexlU1lfshall be unposed on the undelivered item/s

i~~~10~ritul'eover printed nam c suppii;---"

IDate

Description

: ;"I: ), I; j'111

, t, !.~' !

,! j

attach the folJov/ng if applica' I upon de .ivery

'uJtad,mem NO OC(){!ptulI('fllif dJlv8ry)

L CertitiQtt· ofPrvaur...'t I~ogJ\;tm1 ilH, n(}m 1:n A~~¢<\1Q of G~ Mj\nufit,>.;iH~i.ng pt'llei.kc {I\,!ln FDA

BLah R.itJ~$e (,~:6®t" frQmJml\

. 1J I: -'j. ,

.~, "

Very tnuy yu~rs,

n .. A1\U' ''T'n i'J'V'AJT.a.y" ~".a.......,""..

Medical

Description ." Qualltity ,.

1.4u/ctriu one step tes! NVlJ.",'P·5i'ACCL approved -I8UB/OL/,V£. 25T ki!

rtf'Sl Tube, red lop, 5mf. glass, VACU!!:.T'K. -lOt;1On'. ',TRA Y

IIA V ig(F/gM Rapid lest, :?5s!kil

f tc T 7eSI, I f)(J\ kif (/,(/pidl,vi 'H....'f, .'»1( '{ 'l. upprovo»!IJjOI.l.\'E. J (11',\ I/) KJ'I

Sem/OK'" I l'M/(/r II. pvlur! BIOUNf;.sorrsts KIT

25

32

31

l-i

7,50(J.O{}

5.376.00

Scanned with CamS canner

,13.1:>1:,1 ,fIj'l J.fth4''!f 1ml f'LA •."fIC UJfrs lh/,l' 50(1fliwt'j,ikr 'flOl

~ 1(I,/f!·K.

~"plf'l,~ It'of !t#j'~!.". cu;~sriJ'\ vIr..:!' '\ I{ ( ! "p/trm:.,,1

It 1.1 ( If! j !ImUl :\i~. /IJ{ f IIKIi'

FU , 1.'\1 flU}', A,t o't,!J;,!1\ f 11\1' "'!r i ! U!Jt1rrm d#ILl!?\1 W7 \ flUi.1I

'f·#~ifii'.;;rt.,f 'i.r':'''',·.''iih.-i ""4' ,-,'w ...,ft- ..,,,.no;- r

~~~t~ .~t'~rJI~.~ .\-~~ •• Cr"'~ pti.A..Ir f, JHU''::'! n

II.lIdt·lkk>11/t (, ~wf"w:11_ f 'r

On

12

Ov

Scanned with CamScanner

" .

'.,;)~ifj".~~_~~~~~~~~~Quantlty

1.000

YOLACTINI POLYGLYCOLIDBCO-L-I..() ATRAUMATIC ROUND/ TAPER

LENGTH: 70-90CM (36"), NEEDLE:1/2 cr LE. MULT1FlLAMENf, STERILE., ,

In.~~"'~·"",,'rt;;p'-'''',BRAlDE.D, 12SiBlY,{,Sl;NC~Yki

,000

day Qfde~ shall b~ itnp<>~d on th~undelivered item/Ii.I·!

Very truly ),QlIfS,

1f~,:;':i~- ~..~\-T~ }~"'~F'

,

'- .. ,

I.J

Payment Term:

[.JcSI,;npt rOf , . Ouib1tity

In case of fail~ to make the full delivery withm th~~one specified above, a penalty' ofon~Henmcht of 4eJlt~ShaUbe jItlPos~d on the undeliv~red ite1nls,

Very truly yours,,~. ,I

·.

BaJa ced F'orwllnil!il

Qua tity

YPROPYLBNE S~OATR}\I,.,MATIC, Lf.NG'DJ,V.::I'V"'J'V~ (30"), N~BD E: J7MM U2 cmcts,

'rAf,r;1? 't\f'\l)H.n nnnru 1=1 AI~M.. L,M .401'''' ~ ,IJ~_'JIJ~L.I', J.J~-'_·JJ:J..JLI ,-UUfl,

t! I) I

\ ~ t ..: ~

!o,dI., ,I

l?lE(tEi 'NT. STERn.E. NON-

ABSORBABLE, 12B!BuX, 81::1 SUTUR SYPROPVLENE

J f-

attach the following If apnlicab e upon delivery

WV(httfICWl1Ir_NQ fI~tlJf~ (lj'ddlw"Y)

()mi'''tcate 01' Good MCU1ufactllrift~ l)t'"l)ti~ frotti FDA, 1

, Batch Release C rtifieare from FDA

400

Byr I.'i(

.) 1111

One

t..nl.....".~,Ift!ake th(Sfull dtHvC1Y withm the t'Une 5pecified a . v~;a penalty of()l1e;.tdffillll

shall be imPOS«! on the l.tnaehvef'ed item/s. '

Very trul yours)

llAMQNCtTO C.

'. IL,--..,

CARMINA 4. (:i\S' u.o,cr AAdc(1untRm IV

f 'Iii:

~ .r...... c_ tliII K..tIII ~..,_., (CUD't 1\' CAtABAJtZOXBA TA..'I'(GAS l\IEDJCAL CE..'a'ER

- ..... ct.tr 'ISOHOltZO'. CERnHED

J,.,.J

JOB ORDER

CONTItACtOR/SUPPUJlt M£DM.,"U OJSTIU8U'I'DAS •.INC. .a ORDEtlNO.21·11~71

\Ho.7 'Ion", S,,",- Com~ Sheridan street, iAODRUS MandaluycmgCity, Metro. ~anila ." I DATE

~rnbef la, 2021

nNNO. 219-075-61..00MODEM sv,

PaOCUlt£MENT

ftA(f. (I: oaM'IW IATANeASIIIIDItAl CEffItI DEUYERYT£t1M I.Q JOa01lOlRI(UMtIIITANG'MIA, IATAN6AS t;IfV !tR ~aPTAHCf OF OELMIIIY

DATE OF OEUVart JO CALINDAII DA'VS FIlOM 'fME R£alP1 Of JOe 0ItDa PAYMlHTnRM • clays.....,. ..h.OPEIrt'V -. - , _

"',gppcRJ,P11mt , gyAN11TY wm: Ym~T AMQYIl£NO.QrNctfwI ......... f!lfU UnfliofOratysfs MIIChtneIrMd: a 8IauftModel: DIfIGf+ i~.-L HPlACEMlNTOFTHE fOUOWING:

,r-- a, PumP body for Pi$ton PvmP for SN:504532,

I501221,504527. $04531, S04SIO, 504526, 1 pc$. 24.200.00 169.a.00andlO4S25b. Mtmbrln. for balance chamber for SN:504532, S04S31, 504530, S04S26, 501220,

11 pes. 6.900.00 15,900-00501222,501211,504&25,504524,504529,andS04S28

c. Temperature Sensor for SN: 504532.S pes. 2,300.00 .JJ,500.00

S04526,S01220,501222andS01221

2, SUppt;and fn*ttatlOf\ \ Batangas Mec;'cal Ceni.:>r3. Testiftl and commftSioni1\C - C OMISS\ON )N AUDIT

• Warranty: 90 dayt from the ute instatJatlon RECEI ~D.PrOVision of the foUowtng_ /• Service Reports . 8'

- Warranty CartlfQtes " .. ,.. , {U, DlI m2Jr- • 11". - ., ,/:}q

I I')~ --TOTAL AMOUNT 256,800.00

(toTAL AMOUNT IN WORDS) TWD IJundmt~_ ~.s"ht IHIntIIwJ ptIIM."".In "Sa of hiklr.to make the fuNdelivelywltbln the time ... abow, a penalty of one--tenth (l/lO) of one (1, percent for every dty

of ctelay shall be impOHd on the undelivered item/s. 11/\/VfMV trutt yours,RAMONCllO C. MAGNAY£,MO,",S,MHA

, Medial Center ChIef URKeived order.and bt:lad..~bindma~condttlan$ stipulated in t~~I net sped" ct .... " l I ~''',TAN (: AS ~1 E I> I <:" I. c r,N T an -I

a COftmNmw sot R ~'C rr~I'~-!;:ttl:,_ IIHLtr- .I_ CAknt1f.4\ ' I ~-".. f",,;' ~'!~ r - D ~v lOlleon""........, I"lI'rm T. . ~..,,' , t;;:ru; '.e", ,SiSnatuAI aver ~ ~iof SUj'11er ENGrr,FflH,'ic; ANI) I l'",ii.lflcS !'.1i\NAGEMENT

D'te ::,. /) IJjjZ iHAMl._~ '2.,• ..,.

Fund Cluster: or ::lATE; . n.] J,J~URSNo.: ~-~:_~1~.-tootOFunds Available: ~!~ ~'-"'~"'" n~trf-' : ........., !ln1 v : 'IfI'11,r: ~~"""''"'":M~?~ C ]f}l ~_'_!Uf f 1 (~l. It; : Amount: ~ .00,

'r ~i ~CP~ .... ~- (I '~ ....A-.,.._,, '~~UJ(~ . ~'-f"I;-j " •. :.: 1 '\j If 1 ' t

lil!Ieuw QINAI YlMW Ul. t.VW

, .J

Republic of the PhilippinesDcpartm.cnt o£Health. Oeeeee for Health Dcvc1opD1cnt (CHD) IV-CALABARZON

BATANGAS ~DICAL CENTER.]"!at2ngaS.-GiIy.

ISO 9001 :2015 CERTIFIED

JOB ORDER

·CONTRACTOR ISUPPLIER ADVANCE RUBBER & SALES JOB ORDER NO.

CORPORATION (ARASCO) 21-11-0370

ADDRESSKM 795 JP Laurel Highway Balintawak, Lipa City,

DATEBatangas November 18, 2021

TIN NO.MODE OF

- Q02-8-2-&-2QO·Oee· - -PRO€~.fMENl'SVP

PLACE OF DELIVERYBATANGAS MEDICAL CENTER NOJOBORDER

KUMINTANG IBABA, BATANGAS CITYDELIVERY TERM

NO ACCEPTANCE OF DELIVERY

DATE OF DELIVERY 30 calendar days upon receipt PO PAYMENT TERM 30 days uponcomplete deliverv

PROPERTYPROJECT DESCRIPTION gUANTJrY. UNJI UNIT.COS.T. AMOUNT.

NO.

Preventive and Corrective Maintenance of

Hospital Service Vehicle and Ambulance

Ambulance with plate no. F3 E02S Nissan1 unit 21,770.00 21,770.00

Urvan 2.5 Diesel 2020- Change Oil- Oil filter C-- Gulf fleet force syn 1Dw-4Dfully

- Wurth engine flush Batangas Me Jical Center I- Air filter/Cabin filter ~OM'SSION~DIT

I1

- Replace radiator coolant

REeE 11 I- - Autcaid longlife radiator coolant red l- Distilled water . 0- Brake check/clean/adjust Ev- Brake cleaner wurth r ;-itf! I" 11.312. I- Brake pad/shoe '1lflle 2. ~-,_~- Wurth quick fresh active 1DDml

. _-,Interior detailing

- Car care kit

Ambulance with plate no. F2 1945 Nissan1 unit 45,520.00 45,520.00

Urvan 2.5 Diesel 2019-Change Oil

- Gulf fleet force syn 10w-40 fully (Diesel).. -Wurttr-engitfe--flustr

SUBTOTAL AMOUNT 67,290.00

I(TOTAL AMOUNT IN WORDS)

Received order and hold myself bl ding to the conditions stipulated in thegeneral and special conditions oft e RFQ}Canvass Proposal.

Conforme:

In case of failure to make the full delivery within the time specified above, a penalty of one-tenth (1/10) of one (1) percent for every dayof delay shall be imposed on the undelivered item/so

Signature over prin ed name of SupplierDate /v IfD /'7AJ?1

page 1of2Effective Date: July 05, 2021

Rev. 02

·Elat2ngas,Gity·ISO 9001:2015 CERTIFIED

Republic of the PhilippinesDepartlncnt of Health, Center:for Health Developo>.ent(CRn) IV-CALAB.">RZON


JOB ORDER

. CONTRACTOR ISUPPlIER ADVANCE RUBBER & SALES JOB ORDER NO.




TIN NO.MODE OF

SVP@02 ..g-w..210-00e ..JlROCUR-EMENT·

BATANGASMEDICALCENTERDELIVERYTERM

NOlOB ORDERPLACEOF DELIVERY

KUMINTANG IBABA, BATANGASCITY NO ACCEPTANCE OF DELIVERY

DATEOF DELIVERY 30 calendar days upon receipt PO PAYMENTTERM 30 days uponcomplete deliverY

PROPERTY PROJECTDESCRIPTION gUANTJIY UNIT. UNIT.C05.T. AMOUNTNO,

BALANCE FORWARDED 67,290.00- Air filter/Cabin filter- Wiper blade- Replace radiator coolant- Autoaid longlife radiator coolant red L- Distilled°water2L- Brake check/clean/adjust Batangas rt;C;ter~- Brake cleaner wurth- Brake pad/shoe COM~r'C ON AUDIT- Wurth quick fresh active 100ml f:IVED- Interior detailing RO~- Car-care4<it By -

Replacement of Tires: I );'it~ 1 1'"2.113 "'t_;Brand: Gajah Tunggal195 R15 BPR BPR')llne \ 'L.~\3MAXMILER PRO \

j~RAND ~OTAl AMOUNTI 67,290.00 I


2 3 NOV 2021

(TOTAL AMOUNT IN WORDS) Sixty seven thousand two hundred ninety pesos only,

In case of failure to make the full delivery within the time specified above, a penalty of one-tenth (1/10) of one (1) percent for every dayof delay shall be imposed on the undelivered item/so vv


Medical Center Chief IIRe.ceiv.ed.onter.and h9ldmys"'~tbinding~to-.the~conditiPn.s,.stip!llate.din thegeneral and special conditions of th

Conforme:

,CPApage 2 0'2

BatMC-PS-F-029This is a computer generated form. NO Stamping needed.

Effective Date: July 05,2021Rev. 02

Republic of the PbilippmesDepartlncnt o£Hcaltb. Center £0.- Hea1thDevolopsncnt (CHD) IV-<:AL. ....BARZON

BATANGAS MEDICAL CENTER.Bataneas_~

ISO 9001:2015 CERTIFIED

JOB ORDER

'CONTRACTOR1SUPPLIER

ADDRESS

TIN NO.

KM 795 JP Laurel Highway Balintawak, Lipa City,Batangas

JOB ORDER NO.

DATE

MODE OF-PROCIJREMEN-T

21-11-0369

November 18, 2021

SVP

ADVANCE RUBBER & SALESCORPORATION (ARASCO)

BATANGAS MEDICAL CENTERKUMINTANG IBABA, BATANGAS CITY

30 calendar days upon receipt PO

PROJECT DESCRIPTION

Preventive and Corrective Maintenance ofHospital Service Vehicle and Ambulance

Ambulance with plate no. A6 8407 ToyotaHllux 2.4L 4 x 2 MT Diesel 2018- Change Oil- Oil filter C-ll1 Vic Toyota- Gulf fleet force syn 10w-40 fully- Wurth engine flush- Air filter/Cabin filter- Replace radiator coolant

- . --Autoaict-lcmglire--ra-diator'CUolant'-retrl .- Distilled water 2L- Brake check/clean/adjust- Brake cleaner wurth- Wurth quick fresh active 100ml- Interior detailing-·Car·care,kit

Ambulance with plate no. YQ 6769 Toyota HiAce Commuter diesel 2015

- Change Oil- Oil filter C-lll Vic Toyota- Gulf fleet force syn 10w-40 fully--Wurth e-ngin'e"-flusn-

PLACE OF DELIVERY

Conforme:

DATE OF DELIVERY

Signature over printe name of SupplierDate (-p //17 (J.-f)'Yl

I

I(TOTALAMOUNT IN WORDS)

QUANTllY_ UNIT

DELIVERY TERM

PAYMENT TERM

NOJOBORDERNO ACCEPTANCE OF DELIVERY

30 days uponcomplete deliverv

PROPERTYNO.

1 unit 18,820.00 18,820.00J

Batan~~SM~~al Center

COMIS 0 « )N A.UDIT

RE~ r~EDBy r.( I. ~fIl 'I"lll,'!> '2.1" , 11(; ?- ~.-:

\

\1 unit 18,170.00 18,170.00

UNIT COST AMOUNT

SUB TOTAL AMOUNT 36,990.00


Receivedorder and hold myself bin . g to the conditions stipulated ingeneral and :;pecial conditions of t e FQjCanvassProposal.

Date of the ORS/BURS:-ti>rr-t-l:i'--:!~'lr-T+""_+--IAmount:( -------------1

~page 1of3

Effective Date: July 05, 2021Rev. 02

Republic ox the PhilippinesDepartJnC<rt o£Hcalth. Center £OrHealth Dovclopa1C<rt (CHD) IV-CAL.'\.BAR.ZON

BATANGAS MEDICAL CENTERBatanaas·Gity

ISO 9001:2015 CERTIFIED

JOB ORDER

·CONTRACTORISUPPLIER ADVANCE RUBBER & SALES JOB ORDER NO.:




TIN NO.MODE OF

O&2~2:9-·2·20·QQO· -PROGUREMEN1'SVP

PLACEOF DELIVERYBATANGASMEDICALCENTER NOJOBORDER

KUMINTANG IBABA, BATANGASCITYDElIVERYTERM

NO ACCEPTANCE OF DELIVERY

DATEOF DELIVERY 30 calendar days upon receipt PO PAYMENTTERM 30 days uponcomnlete deliverv

PROPERTY PROJECTDESCRIPTIONNO.

gUANIIIY. !lli!! UNIT COST. AMQUNI

BALANCE FORWARDED 36,990.00- Fuel cleaner- Fuel filter replace (iesel)- Fuel filter FC-193 VIC Toyota Innova- Brake check/clean/adjust

. -·B-rake--cleaTfef"··wurth- Wurth quick fresh active 100ml-Interior detailing- Car care kit

Ambulance with plate no. SAA 6542 Toyota1 unit 21,120.00 21,120.00

Innova 2.5E diesel 2015- Change Oir

~- ---~----E atangas Medic 11Center I

- Oil filter C-111 Vic Toyota ICC

MISS1~N A.UDIT 1

- Gulf fleet force syn 10w-40 fully- Wurth engine flush RE~: -I~ ED- Fuel cleaner- Replace radiation coolant '1, . 0

. - Au-toaid-longltfe--radiatiorr-coolimt'-reci"L f •• , i1- \3J 12-1- Distilled water 2L

1 I. - 1-,S""' ~- Brake check/clean/adjust

11111';

\- Brake cleaner wurth ,- Brake pad (Tentative)

TOTAL AMOl) NT 58,110.00

[(TOTALAMOUNT IN WORDS)

Receivedorder and hold myself bin . g to the conditions stipulated in thegeneral and special conditions of t e FQjCanvass Proposal.

2 3 NOV 2021

In caseof failure to make the full delivery within the time specified above, a penalty of one-tenth (1/10) of one (1) percent for every dayof delay shall be imposed on the undelivered item/so

Very truly yours, t/"VRAMONCITO C. MAGNAYE,MD,FPCS,MHA

Medical·Center Chief II

Conforms!

Signature over print name of SupplierDate (')./(0 f>tJ~

I


,CPApage2of3

8atMC-PS-F-029This is a computer generated form. NO Stamping needed.

Effective Date: July 05,2021Rev. 02

Republic o£the PhilippinesDcpartDlent of"Heal1h. Center for Health Dcvoloptncnt (CHD) IV-CALABARZON

BATANGAS MEDICAL CENTERBatangas,City l~~ -

ISO 9001.:2015 CERTIFIED 'Sl~¥ .q,,~

JOB ORDER

CONTRAcrOR ISUPPLIER ADVANCE RUBBER & SALESCORPORATION (ARASCO)

JOB ORDER NO.

21-11-0369KM 795 jp Laurel Highway Balintawak, Lipa City,Batangas

ADDRESS DATENovember 18, 2021

MODE OF-PROGlJREMEN-T-

TIN NO. SVP

BATANGAS MEDICAL CENTERKUMINTANG IBABA, BATANGAS CITY

PLACE OF DELIVERY NOJOB ORDERNO ACCEPTANCE OF DELIVERY

DELIVERY TERM

30 days uponcomnlete deliverv

DATE OF DELIVERY 30 calendar days upon receipt PO PAYMENT TERM

PROPERTYNO. PROJECT DESCRIPTION QUANIIIY. ~ UNIT COST AMOUNT

BALANCE FORWARDED- Brake shoe (Tentative)- Wurth quick fresh active 100ml- Interior detailing- Car care kit

58,110.00

~~~-+-----------r-----Batar gas Med~~icalC inter

COM! SSIO~ ON UDIT

Ri:CE ,I~I,v +--:-C')~I+-r-_I--_r ',i:C ,7.. I (3/"2-1

11I1G '"'1-'.'\'0,

GRAND TOTAL AMOUNT 58,110.00

Fifty eight thousand one hundred ten pesos only.(TOTALAMOUNT IN WORDS)


Very truly yours, «>RAMONCITO C. MAGNAYE,MD,FPCS,MHA

·Medical·Center Chief II

2 3 NOV 202\Receivedorder and hold myself bin1tJ1

to the conditions stipulated in thegeneral and special conditions of t~ e Fa/Canvass Proposal.

Conforme: ..__Signature over printelt name of Supplier

Date ('2- UI7 / >c "Y7I i

ORS/BURSNo.: ~~ :_:lfX:4.'iJ-.:JcJ /-1/ -o~ ..Date of the DRS/BURS: Nll]l _L '21 'II r)1

Amount: 58,111tooI.

~


CARM~LO'CPAACCOUntant IV page30f3

Effective Date. July 05,2021Rev. 02

8atMC-PS-F-029This is a computer generated form. NO Stamping needed.

)

~'.,. j. [. PURCHASE ORDER-''N

- ~ BATANGAS MEDICAL CENTER's'r SAVIOURMEDEVICES INC. P.O. No. 21·11-0368, U~Ier.

Address: Sth Floor, .509 B1TC Center Ortie Ave. comer Date: 1S November, 2021Roosevelt Street, OreenhfUs, San Juan Ci!X: Phili1?£ines

. TIN: 219..377·232-000 Mode of ProcuremeDt: PBOCT2021,

-Gentlemen:Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place ofDelivety: Batane MedkaI Center Delivery Term: NO P.O., NO Acceptance~ of Delivery: 60 calendar d..&! ~n recei~ ofP.O. Payment Term: 30 days upon complete delivery

Stock!'r~~ Unit ~P-tiGn Quantity Unit Cost AtnQl.UltNo.

J units Fetal and Maternal Tocomonitor 4 320,000.00 1,280,000.00Brand: Bio/lght - China

(Teohnieal Spejicijications attached)

...

v.. -..3atangas MEl:1ic -- -

C FI CenterJ~/j/SSlbN 0N AUDIT·RECE'~ ED

Gv. Kv~«d; I~ . -:!ElioJ"1111/

'1,]) .21~ - 0~S?<No,.:

Pt&sss attSCII m9 foiIoWll'lg If applicable, upon delivery!~ .t:tachment N!2 ecc.ptance of tJelJwJI'y)

-1. Cemt1cate of Product ReglalrtItJon from FDA- '-. 2. Certlffcate of Good Mllllufacturfng practice from FDA3. Blitch R•• .,. c.ftlfictlte from FDA

TOTAL 1,280,000.00" (Total Amount in Words) One million two hundred eighty thousand,pesos only

In case of failure to make the full delivery within the time specified above, a penalty of one-tenth (1110) of one (1) percent forVery truly yours, n.

KaY~tenor

RAMONCITOC.MAGNAYE,MD,FPCS~

Confonne:Medical' Center ChieM NO~ 1

" Signature over printed name of S~lierDAt9 November 29 20

FUnd Cluster: 01 ORSlBuRs No.:06- ~Ql\irl~' 8-~·Funds Avaiiable: r~,od)· 00 Datfrof1lm=ORSIBURS:

CARMJN~O.CPAAmount: ...

ato "'S;"_-_A ._, ..=- L!)Jjl,l.a0_,Jl.~9Q..

If/fCf/7llJ .~ ",.-~

~~~~~~~U;lf"GoNsr.mnenJ A.acotll1llng Manual.Page J ofl

~ "

Republic of the·Philippines .Department of Health

TECHNICAL SPECIFICATIONSSUPPLY AND DELIVERY OF VARlOUS MEDICAL

EQUIPMENT (REBID) 182021-0189

iOCQMONJTOR QUANTITY:"'SETS FETi~L AND MNfKR.~Al.. - 1~t)Ulptj

4~O etlOC-..ETPM· TOCOM'ONrIQ.RCONTRACT: PHP 1,400,000.00 DfOLrGJIT

CIHNA. --.-~-..-

PURPOSe OF !J$! PUSPQ§!; Of USE;

ProviduolutjC,JflS·fO( anClrea$ of f~at monitoring, ranging from Prcl.rlde :!iolutions fo! 4111areas of fetal • Complyantepartum. intrapartum. and po~artum clinical appllcatlons. monitoring. ranling from antepartUm,With lnteantft<l llloOitotin$ of twins' Fetal h6itll rate, urenr,e r-"ami _"'m ,••,,,1<tctMty. fetal mO'A'!mant. intrauterine pressure and ciirect ECGas ppUcations. With integrated monitoring

well al>l'Tiat~mal ~Iep,Sp02, !:CG and Tem~tatlJre. It offi!r'$CQSt tw'M' ,_ h.. ~ ",., "len"" ,,"~<y,~~i"'~'iI!1d "'e,dbJ! S'o/Utiol'/ for lI1!1f.etsl monltfJrifli'Meds, tiJl mowment, JMtrauterlt,lepressure:wlthDU' compr(lft1i$lng QV~Ity; pF'e!3SlOIl, pe'rforman;-e and t;f direc~f:CGas~a~m.aterrtal NlBP,

'ergonom1cs. r02, ECGandTeritrleratUre. rtQffers'1:bst I. ff.e~lve ana fle~~bltl,~Oll,)tioilfuf aU fet,i:d !

., ~itol'1llineec$'. WlmolJt c-ompJ'Qfl"i1smg iquality, pr-ecision, petformance andergonomi~.• Thluquipmen. iscomplying ba$E!d to the mentionedequiremcnt In the- 'tBted $pec:iflattiOll

f f',~ r~ . r',' • ..,\ .,.,'.' '~"'" ''''m~/

~ ....~---.--.-,~-----_""- .....

193

___ .

~M$AL OESI/fiPTIOH'1,)OIS~'( MON4T~ _"Qlspmv lVI~~· Whl.titb~I.'gfOUt!d, Trn:m:trti&$llfl1

IThe b<lcl!grou('Id paM bar sUpportt two £tandarcu: 30 .. 240(Ame,ican s16fidlifdi 1ind 50'~ 216 (1Ilter~tiQ!'ral starn1ilrdJ.

During mon1torlr,g or reviewing. tM trece wmdow dispiavs10urtratas: FHIU trace, FHR211ac:e (dual cQnflBuratlon). AFMtraee and

rOOlt<.'"

I

tm®&'CAL DESCRjPjiQ,r 1f 1..J OtSPLAV MONf1'OR - 1,

- OlsplayMcde!-WhU-ebat~tll'ld,tl'8nsmtsslve

• Display I"nqde:TfT LCDOl.spl&y C-~1tllpl>'HlICIIlght F90 Bro(lwre:)

The background pane bar supports twostandard,.: 3U'" .z4a/AIfI_erical1 stand;;lrdlMid SO~ 2:10 (tm-emational SUnOlIfC).,

• 30'~4Q (AmeriCa" Standllfd) - ($mply.2BfollJht F90 1rott.1urci)

tins monitorIng or reviewing. the tra~eindow displays (Ol.lt treces: PHRl trace,

FHR2 trac~ fdu!!! CQl'tfigv.fat)gn},AFM Vli!(; .nd TOCO trace.

• TWin monitoring functlon,fHIH & FHfU. ArM ~nd TOCO. • CmnplyMultI-display Interfac.e

p.l &2 B$olfghtF9GBrodwfat

• SIte: 12.1" It'l.:;hes, highresolution BOOltGOQ

1".1810UgiltF~ If(1dltm:'

It

TeCHNICAL WCBlPTfO~

FRR1JFHR2 tracenit! 'I.all'~ oHhe ,trac.e Iti~es the hUlTlerf~ClfFHR. The range;$ so bprtl ..240 bpm iAlTlerieaflllta~rd) Of SObpm ·210 bpmilmernetl'oiilll $IMd~rd}.

FHR'!IfHR2 traceThe y-axis I)fthe trace indicatei thenumenCi of FKR. The r(lngf: Is ;)1)

1:1pm...240 bpm (Arn~rja!(.l :5l:MtJatl;l)or 50 bpm ~ 21.Obpril Hfltemiffionalj l>tandard).-

LI -:------------------- __ 1'_·:_~_n:_~~_eos_~_ring,_8r_~_=_~,~_1:l;_O_ -~.~ __

I

-, .<;'

.

Degr~ 0# Safl!ty tn Presence ofFlammllble Gas-es MaIn Unit:

• Stannard r"t'llJtrem~nt' k CorrtplVcomply with tEe 00601-1 andlEe eo601-1-2

'f~FMtra~!'"'v-'_....._of __ ~tAFM trate-The ~ f~es the stOp!! oH~t;J1movement.

I • Mj~ltj;~vfq~ ArntI~i.~~p.;Z8fQligllt f98 8roclwre)

totl'lolv

Complv

l

I

L----_--L--.----- ..--L--------'

1'1011:: 'The ArM trace 1.$ onIV tQf tefl!mtce. please take the MFMmarks as~~ei'tGn.

NOTE: Tht' Aj:M trace 1$ onrV forrefl!r~na!, plea~ ta"'" the MfM mark'S1111 critl!'ricl'l.

• Multj-dlsplay/ CTr.;AnaIYSI~p.181ollght F90 15rodwre}

L~omplY

I

Taco tracltThe V·<!)/s lndkates tlie ~merlc of TOCO.The rang~ is ~ ~ 100%.

. TOCO tra-c&

iThe \'·.it)(i$ fndlea~ the I'ltJJ'I1e.fic: ofTOCO The range is 0% ~ 100%.

• rJrcai1Jl1ftg f'inge; C"'t).Q074(p.l 8lol.ght FSO Brochure)

Ip.l 810JtglltF~ 8rochurel

De&f-«eof Safety In Presence of Flammable Gases Miln Unit:

2. ) AnU...lecitic Sbock typeOstral! ofProtf1ction against Harmtul fngr.us bfWC'fte!: OrdlnalYequipment ~leJledequipment wllhout liqUid proof)

2. ) Anti·&lectrie Shock TypeDegree of P'rotecrlort agafn$t HarmfulIng;ressof Water~Ordinary e(1uipment(se.;lled equipment without liquidpf't)of)'

• Sutu:!lrd r*qOlfi'ti'Mnt:Complywith'IEe~1,,,1 andIf~-.5COO1-l~2

195

4.}PrinterPrmt head: llt lellst 1281'111'1'1thick frlm

Aesolutton: & dGt:s.t)e( mm (standllrd)Pl'I:nter speeds: 1,2, or 3ern per minute-(user sefectabl~1Fast (oward: 10 em/minute FHRsc.alti: ~a.240bpmOlSO·21O bpm(uaer selectable) Annotation: Hospitalname, time, Oak., paper sfjeed,'monitorlng mtXilt~ ,si*-nai jQSSr1Jgn 1s1)Ud:Revlew and prlot catci'J...IJPatup to 20cm/minvte

• BUIlt-in recorder. 152mm:t- lL -l. fo_'_de_o_·t_h_e_rfTlOHm$itive. ...Jll....c_O_t_l'_PI~ ,_j

. Ot4Jrwv e.q'ulpmedt (seeled ~u1pml!fit without liquId proof)UWT.O.cO TraNdut1:rs; .lP}(aOtMrA<:~~s'O/'~: Ncjl!qiildj~~nprot'ftcllors

I~C'ib Q£scRlPllQN

3, ) Recorder SpeCificationsZ·fotd, thermosenslnve: WIth 1 em/mIn, 2 em/min, 3 em/min

printing speed Up to 25mm/sec; 8 dots/mm

4.)PdnterPrint head: at least 128,"m thkk.nlm Resolution:8 d~ ~r rom

{standard.1'Primer speeds: 1.2. or 3cm per mirwte- (user selectable)Fast forward: 1.0 em/minute FHR scates: 30-240 bplTl or 50-210bpm (user sele<:tablej AnnQtation: Hospital name, tlme, elate,paper speed, morntoriTIJ,modes, s(gnalloss Hi_ghspeed: Reviewand prlnt.catth-up at IJp to 2tJcM/m*nlJUt

IOt$.ruw I!qulp.rneflt {~h!d

'tf tAfU1Pmell.t WlthQut liqul<1 proc.f)uS/Toco Tnmsd~er's:fPXS Other

. IAttt'!:5SQri~s.:.Nof.-qLrid ~r8.S$.pro.t~Qn

.. 12 Cryst" tPKS waterproofProbe

(p.2 Blolfght F90 brod'lJI'e)

I

l~cijjCA\.~n2N

1

3. ) Recorder Specitftation$2~foJd. therrnosenstttve: With 1em/min. 2 em/min. 3.cm/')'Ii('lprinting sF)e6d Up to 2Smm/~ec; 8dot}J/mm

• Nold, lcm/IT\lfi.2cm/mil'l.3cm/l'run,8ooU/mm

(3. IRecorder SpedflcatJons~fold, the.rmo&ensittvI!J; With 1

cm/mtn. '1.Im.in. 3·cm/mln; S dou!mm -

tiedo,; the Suppfemental8id~~~~~

I

I~I

Comply

II

• Comply

1'96

printIng PIJP'lJr fas-{recottlfna t.tl' til lSmm/s.l'rinter spe&Ulem/mif\.ll;rnj"",I'l, ~q'I!~)n

(4.J DU'tft in printer - Based on the!supplemental Did BoHeUn No.1){p.l WcI!gm ercdmre}

I Ir'~--'----~--------------------~------------------------~PROCURING EHT1TY BUlOER1S OfF'EA.-.------ ...--..-.~-----~.~..-.------~----------------

p«lfica.~OD JI!Ij 'rf!t.bn.i('11J Off('f f-~~-J)-£;';_._"1'.\1·E,"'t.'<I') Of{ OMPIIAI<' rc

p,tffSICAL. OESCB'eDO[ll .-~

'Mollitor Dimensions and WeightAt I@ast 12 inches monltcr 5.:1 kg. to 6.1kg

M'onttbrDime~lon$ and WeightAt feast U inches monitor 53 kg to 6.1 kgThis ~ Intended for use-In the ele.ctromagnf:tlc; environment:COl'ldtJ~d Itt lEe 61000-4-6 with.3 Vrms ~mp{jance level; .overthe,fTeQu~lity rnngel~O-kHl rosa MHl, f,~cj$t(engttlJ $hmild be16$$ tht!I'\.3V/m.

N$ i!Intended fer U$t'l In theelectramilgMtlc en\llrollment:Conductild Rf lEe 61000-4-6 With ;3

.Vrms CllmplUlrtU tave!. ovet th2frequency range lS0kl-lz to SO l\fUil,field stnmgthunould be less Uta" 3!V/m.

• Monitor dimtmslol1: 12.1e

in~hes Color TfT lCD We.ight:::;ekg

• Standard reqwement:Comply With IE.C60001-1and lEe 60601-1-2

~~onitor. .'jOlm.enslens and. We1ght:lat Imt'a" not IllQAtthan 1'3V

Not more than ~kg • Based on the!supptemental Sid Bulletin No.1}

~ Comply

~ comply

I

~. __ ---'(,..,.I) ....,1,~~B~.Iol""U""llb:.::t'_'F""90=8r'_"oo.:_:ch'_'_'u"'_re"')'__ . . .~ ..l

~"'[~'U C"l'Y~"""' ...-!.' ...~.......~- -----

". II

197

Power Slir»1v Op~"tini \l>Qtt&ge~ .100v-24.0V"" Operau~freqvencv: OWl/~l Il'lPut Power , lOO· 24t.lWl:Jf,Httty.14,8V/440l)mAh Rechargeable Utlilum-'icn

The r~('(\l'!Ilmmded t:liargt: temp~r"ture ranie b from OC(+32F}to+40C (+1041=,_

PQWer ~l!,t (Jpmtf.. Volte;.1e;.l!JOlJ 140'r

OperattngfrequenGY,OHI/60Htl.nput Power; 100- 240VABattff\': 141lV/4400mAhReenargeable Lithium ..iol'l

• PQwet'Suppiy/fnput voltage'lOOV~240V

At,; Comply

• operating Frequencv: SO/6OH% Comply. ,. ~1. Complv• Batter·v= 1l.1'l4000ma"

fftchargeIJbh! lithium Ion

I battery ..IJ).UloDght F.9n &r~

The (ec:ommellded·d'l<Irptamp>!nnufe",rrgels from OC{t3·2f) to+40C '+l04F)

• EflVironm!tl1t b:n'nptlrature,+Sdegfi!es Celdu~ ~ +40 degree!· ComplvCeldu~

She rec;omml!flded charg

mperature range Is:am SC {t-32Fl to- t-40C l~l(l4A - Ba!>et&e Supplemptal Jlkt 8ultuln .No.l I

-~- _;._......_----

I·"'."

~. )",: ..'

.. j'

•}Ulb'itsound (US) TranSd'Uc.ers-with SI;m50r, cl\ble an.d ('O"n~lor·f« singleton and m",ltiflltal ~rcg"fartdeli

• 3 If'll ~tl$Or {fHR1, ToeD &.FM1. With table <lnd r.onnp.ctorior singl~t(lr\ and multlfetifl

,. with EC14 Cahle• with SP02 ilnd T~mpel'ature

S~SQr• wrtt! NIf:W euf(

a} Olti'llJl)1Inr:ttU$j ~~rs"MurtindllH:r EeG c.bIt!

$pOl and Temperaturll 'rnl1llMerNIBP Cuff· B.ased 13n tJle Sup.pleJti;lnt,il1.d BoII.fin No.1}

.}Ultrasound (US) Transducers-Wi.ttl rte;l'iSor.1:.attlalll'ld c.oi\MctO{.fQ( i{rl-gleton and multifetal Ill'eg~!'Ictes.

III

camply

. Com;:;l,comply

(amply

p.18. BfolitJht Servloa Manual)

b.)TOCO '(ransdueeT$-wlth£$n$Or, cable"Md connecter

,. with roco trans<iw;er •• with !"Comply

Lom~..._ ... ~A .. ",~ht.A!II"""" It.nhri t-:t"'k'l'L alton~ •.... .gW-t\i;, \oil,""" ~"JiI'.~" } "''lW".

rP.1B< BioHgllt ~~ MlltAlA'l'>I

1c·1~lt .. "1 " wtthtlllit" .}AI!Mote Event Marker

• wIth remote eVent ml!trk~T

,}Fetal Stfmulotor'• wIth Fetl,lJWaker

,1 a. Biofl5lht SOl'VIco Manual)

Comply

Comply

.fi~rv.J.ht'-1drii:'-I?l~•.in order to reducethe tIme requlredfpr~hfl NSTwhenthe fetu$ls asleep, it cat'!hI! used tope if mild vlbtatingstll'llulatlCm tothe"~TlJs wOiJ!!.b ihe"m)'ltQtnal . 1ItM.om~n. ""required for Ule"NST When the f1J1~ is" <meep. It GO b~ l.i~C ~"el-J~·.s mild Ivlbntlng stln1uhitlon to the fetw; ",,' JthroUj;!h th~ matsmalllbd()men.~ftefetal rtimlilator Is con"Meted to the

L . -,--------.,---...I.!.!m:::o::.:n;:!ltor~b:::Jv~iI::!n.:.:aud=::.:lo::.:c:::;a::b::.::ll!l:__-..;.Th;:.":;::IS:___ •. ._ ••

~

·Complv,,"~ttamH'Qld df!1l.i.ce.tn ortiertoredue'etnel:lme reqUifed fQ.r~he

whet! the fetus is asleep, i~can be used to give $ mildVlbratlnl s-tlmulatlclI'l to the fetus through the mat~fnatabdomeri.. "i~q\.llred tqri:~ NS't when.1lie fetus iusleep, if can be used-to "give.il'f!1lld '1Abl'l{tingmmuia,tlol'ltothl! fetus thrQuch the maternal~btlc1rT'i~J:I,1t,ef~f $tknulati::'t ls:co~n"l'ct:M.Iro the mMitar by an

audio ,able

-----~,..:.........--------199

~iljjm~nHs ram~ t,lSSlittl to the'menUcmed requlftfNfttjll the m.i'bdSp1!~fJuiJonr COnIJ>I.' "" .............. t '

I It I II II

Comp-!y

h)IUP Cabie and ,amete(• with IUP c:able

p.250 bid docsijEOS Cable

• wJ!h fCG: Cable {p;18 Bialidlt$e~Man.l)

lSp02 andremPL'ta~Tral'l~ueer

I ·

Complv

,comPlY

J"comp!¥

....__ ._--- ._--_._}

with ~2;;;~ Tem~ttiresensor Ip.SIi IlloJith15erYiuMSIlUiIlJ

.'/>

200·

• Z·folded thermCls~nsrtiveprinting paper. Fast:ttc;m:llng up to liknm/~.Prln.t~r speed Itm/mm. I'1i_J,.",..i .. 1I,._I u".

~

......"1..... " J~"" '" I;CONSUM.AflLU: 1

pertyptl: Z(ofd. GSM$-120 w 1qulvaJent· 8ased on the

pplemefttiJI DId auJlctll't NO.1) I I

~~BQ~~~bBgg~~~~r--------------wI(p~.~~8~iii~ilh~tFaS~Oa/f~90~Br~o~~~U~~~J----1------It,cNVlRQhlMENIAL REqU!BSMENT§ :1'1 iAt ~~--1REQUiREMENTS .11

WORKING T~mper.rturc. +5C ~ t 40C (-I-41F~ +104FJ Relative Hlimidity: 25%

~

...a~. lno.n.c.o..nl:ltlMln8} A.ttnospl-tencPresslJ~: 860hPa -1060hPa

TRANS?OIIT AND STORAGETempy,alure{ --lOC" +SSC!-4F .,.131F) Relative l1vrnidity; 15% .. 93%

kncfN:ol'lde!'\$!l'lg) Atmollpherk PreS$U(~: I700hPa ~ 1060hPa f

• Environment tempeI'lllWre:+Sdc:-grC!esCeiciu5 '" oj 40 detree's COmplvCelc:ius; nelatlve humidity: 2.5% '" I9l%AtmO$phane pre~re~

SSQhPa ~. 1060hPa

• Store and transportation: jEl'lvtronme!f'lttemperature: -20 !degree Ce.l~iIJS- +55 degree r ComptycelsiuS': R~latill! humidity. 25% -J95%; atmO$p.hene pressure;. i _jSOQhPa • 1060hPa· I

kp,,z.lIf1'tlgt}t-f-&QfF$ ~ur.e I

2, CONSUMASlES• PIl}:X'!!~G!lM 80· .I.l0Paper thi(kI'lCiP: 2,-4ml'\'llenJth: lit II!Cln 4Sm

WORKING Ternperatuftt: +SC - ...-we ( +411' - +104F) Ref.ltl~-Humidity: 25% ~ ge%{ncn-eot¥.!e~ing) AtrtlOSptlerk Pressure:a®hPot -1060hf'a

TAANSPORT AND STOAAG£T$\'1perature: -20C ~ ...sse {-4F-+l.31F} ~ative HllmidilY: 2.5% ...9.3'14(non-condtmslng)Atmos~rlO ?r4tssufe: 100N'0l - .10.60hP~

~tNff3PCflff :r::----lJ. • with NIBP'wff 'p.1I1l1o~ J~ C~mplvI' ~~uUljlJ .

2. CONSUMA8f.ES 1 I- P~r. GSM80- 120,pet U,lckMJ.S,; 2- 4mm I,ltngth: at feastSm

Com~ty

201Ct' I'\'.c' ... j ')' ,........<':.• .t".l.'-."''-". A...''''.._,... P) '\",...01.."(

fur- .•

"......._.--~-- _....-- ....."

tDEUVER¥

130 w (iO.{1.II~ tf.-<m'I·thi!- tei!etnt nt.l'urct'tilse order. z

-.~, , I

com'DI!' ' ·f, '.

kfore detiltery, $UPIlIle-rmust callthe' M~t~tltl$ Management ,S1!'cti9Mtor d~1ivlftYc:<wrdlnl!tjon to lIyo!d fIOl'l-ao:eptance or delay In

, ae<:ePtan<e.Before dellvery, SlJpplier m~t , ..n the'Materllllls MalUlgem!lnt Sect,on fordelivery CQordil"llltion to avoid non-3~eptanceord.t13'1 in acceptance.·

Coml!lv on th~ $t<ltement -i(P~ase !.eeattached tertiffnlte) _ '__ ._. .IR/dMNG.JNSTAUATJON" '"'I .:UIlt,I~nON

fl.CQmpleQon p~riod:The deli~tY., . /:' 'ComPly I.Ilnrutlllltkm, tdtmg <rl'ld (ommlUiOl1ing I ItI( t~ equlpmenf and Its ac:refStlrie'S.Includins the trainIng of end-usel'$ andml'llntenlll'lCe stfAff must ~ completedWithin is calendar day.. upon delivery

JlWNING, tlltSTALLA nON t,;.U:nuZA nON

• Compkltlo,"I pened: Th.e delIver)" ItlStatl;ith:m, tl~~al'Ii:Itlll'nmi5sioliiog r:A the e~iJ'lrl~ :.tj~jU; n.;('~tll!l:, !~l#.J1ng tfotottraininx tJf end· users and II'I.l!I(!tlll'ii9l1t-e sl'aff must be I:Q/'l'lpleted'wlthil'llS Ci!lend.ilr days upon delivery

., T.rtlng: Prier to acceptance, the !,l'Iduser shall cenducr apl1ys!eal Inspet;t1Q1'I ilrid fundionalitytest iheeql,lipment must he~ol1lng .and mUSt ban no phy:,icaJ dlJlTlal.$d-d~fect_

I-Trelnillg: The supplier shalll'rovidl!! a ti'alning on the properuse and I'!laltl(!1Jrmn~ Qf t~ equj_oment to the eftd-u$~$ <lmH'9 thehc'Piml mainten.;;!'1~~iitff.

.Tt!l$tlng: Prior toaCCI!Ptiill'lce, the end- .'( shail conduct a ()nvs1'caJln",ectlonnli functlonality test. Thi!-equipmentust be func~01'i", and mljsl hilV~ no

h\'$leaj damage and def~ct..

:Tra!l'Iing; Tht1 $u}'lpllt'r shall pToytd. " 'I';'1l:ilngQl:I tIw ~ ~.aM

m;mta.f"~n:e~~'-;hit~.r,p~:;t:;;~~nd-users and to the nospitalajntenan~ staff.compty on the5e statements,

(lC MeDevlc::estInc. will provideaUthe abllve menticm~

bil'&mllnMP.ease seeattathed cettl'ficate!l)

. Comply

•202

r!A~R:AN1Y --.:..~ -

War~l'Ity: Wlirrantyht(tm~t~(O! tw~~lYf!@f.$qnpw.ilod Otitvttf:&. T~ ibPp1i~r shi!lf eilTt~r r.palroftt~ln'tI~ OI"patt in

f)e'IOquiplTumt mat ts il)urtd to be det~.l" 1'Mf*f1a1 rtr InQf~mitn!lt;lp I.ll"ldet tlQ!milI1J41t. The W81Tal'lN period $hOllommerllt~the datil of aCalptClnat by'rile: Iind-'fJ$er 1'Ifi4rurtlng

, 1'\11",mmiS$fonlng. "P(eventlvt! M111ntenance/Callb~tiQn schedule,thin th~ warranty period. '

2.i\l~llltr shDiff'A1'id\k;t f11d n~e&t.li{'j, SlSpp,ftef shaij'~lduttthe t:le¢Nsary Q)rre~i~ lJ'\:~i".ten.an~a oneqrIv,e rnalntmant~ wnn!ri ffve (.$)

'thin (i'le tSl >;ifltlndar da~'Utlbn tIOtlt1~~I¢t'ltrf ~(JWI~t l~mi,n tillY:> upoi'l notlffc;atfOtl o't' "breakdgWl1 frq,m ttle end·user. A $INlce unit. Wilt bElprOVided dUfrnl .vifJll1eini.i,mlilkoov.'1l Fromme ft~l!:l·OITI!(;tlv~ m2ltl'!te(l:an~. Tl1e und.ertaking shalllllclud.,a statM!tl.nt user. A,servlce uOlt wltl be prQIJi4ed.~t the 1l\JlTI~( Qt days 'l'!Mft!.the eq\jfpm~1'It 1$ !Jnus!lble clu~to IJri!'l8'~Qt'(I!GtiWli"MLnt@n.~. Tne-efl)>;tt\le mllt~ta! or worl<l'tI~1'l$,hl'P,shan b~ added to th. mrt,mt; n(jertalmg liMit Include a !ttatementeriod. that the number 01 d"V~where the

qulpmertt is unusable due to defl!!rlivll'materi¥1 or workman~hl? shall he added

,~the warrentypllriod,

k~~~!:1~~~~~st~~~~~~:_....J_ 1J;l-1Il''''_'\ ",n::=u~.u...l:-~f \" ..... 1I'II.,n,_.l"'-:U~IU1:;

II tIt~,abo~ nU{9'4:OfJlIdeq;Jireme!1b '" I

1-__--~~--~ __--~~-=~----~--~~~~4'~~~',~e5~,e~e~~~a~~~~'~e~~~,~~.r~~~~~~~t~,ti~l_'__~ ~~j

.Wlltranty: ~~¥~i&ale'furtwuJve- ono.rti:a~~" urllicui 1'till'

upj)lie¥ Shalt either repair Qfn=i!13Ci! Ilnytern or fJ<!rt in th1!: e.quJprrwmt that Isourid to be defective In material at Inorkmanshlp t.Ii'l(f-ef normal use. The

w,manrr period Shill! ~ofT\mel'\cetheate of aG..-"'eptllru:1! bV ttlit' end-userft~, t~5ti!:'lS.Gndcorr..mltcioning,

•Preventive Maintenance/Calibrationchedule Within the warranty ptlflod,

"ComplyI

/

I

OOCVMa<fAl\y REQUIRt;M£NfS•.i.P~lJct brod)ute 01 te('h.nf~ daUi11l1eetf$.}01 the

"lqulpment'si'tcwlng the ttchnfccl iPel:IfieatJons in Englf~hIliII'lgu3ge

~~\4JlldMao.etlniAuthor!zation. R1tgirtTlrtlonAppfOva: at rree-!S<IJeCc~lft::3ta for ..ath .tu ..ii'ime~ ....t lliiued b'rttli< HalthA\lttJoritv kith!! wunt~ eo",ntry of orfgln,

LVal.., fa ceo rtUicate ofOi5trlbtito",hlp {as fkst, Tter OiltrJbutQr) ISsued~Y .tr'e Manvf4\cturw of illtell- equlpm~nf tll.Iltlorltlflg the bidtler mtell/distrIbute the offeredequjl)~t. .

.U:r.t and address.ofthe equipment Mamufacturet's branch.'ffice. safes offi(:e andlot dlstributor'soffke.

:tVlllie Marketir.gAuthori~atton.

1

~""tratIGn"pprOVOh:;rFre>! SaleCertificate tnt each eqUlpme.t'\t

Issued by the H,:a~th Authorltv In theC£lUI1W countrv of ot1It';II.

§Iand 'Ce, ., of~strlbUW~hiP (as ,r ComplyTftlrOiatrtbutor} lnuecl by the

nuiactlJl"er CIf each eqUipment .horl~ the bidder to sell/d)$trlbute

..,._ !lfferedequ!pment" r~~IY!

DOCUMENtARY WlUlREMEmSi.Product brochure o'1:echnl~'oata sneet{:s) of the equlpmem$haWfl'lS tht technlQlspwtlcations in Enll!!1'1lar".gullge

4.liil and IIddre~~of the eQUlprMrrtManufac:tur~r's branch office. falesoft!ce and/or distributor's office..- Comply on these- statements,Saviour MeOevices. Inc. Will prGvideall the 3bove m.etttionedequitemenbPJelJU!ft.a atliIdled «!ftmcates)

Comply 1

SP~fi:'I~-) ,-as-T-t't'-h-I-It~-al-O;::-t-- 8r-O,(l-1:-";--'$TAn: 'W"i-r OF

I--- __-------:~:--~-:___;-_;;:_::---__j---.- .----- _£91'.ll'~' __!'toot (.tich 1:1 sal" InvoIce) that the Brand of the S,Prooi (.uc;h as s<ties invoke. C()rnpfvquipl'l1l!nt has been sold to other httalth f.tciUtles In the that the Brand of thehlflPPlnes. qurpmC!l'It !'laS be'en sold ttl

tiler health facHities in thehillpplnes.

Jhat the hland ct the t!qUiP1.fl"rlt has been In th\t 1«3.1and/orn~m;niolWj:lnatj(<:!t10t 6t lea~n.." {1a}~ •

•That the ~ulpml?nt and it;!; .,,,essoriC'l are: brand new, I.Inu~l!ld,ot dl$l:ol.ll'lt~ moae-ls and were not subjected to any

pr1:>duct fecall,

. Compiy

=:» I--""!".' __ '- j~. .

, '

r

~

,ai6der" ilalictaM Qjr'tcflt ~~nre iQ OpetaW (i.iOi es a m~diQJ;~'iia$Glrtributtlf ~ued by t~ Phltlpplfle. FoQd and On..-g,dl'nlt}15tlii!. tiorl. 11'1Cq~~ Of~. ltpl~,~TO, ttle following must ~tlbm~j I) Copy of l!Xplr~d \.TO.IIAppllcation h::Ir (I!tnew.IIJ.ill) Offidal ilecelpt as proof of payment for the renew.,1 of LTO.

B..Manual,: The ,supplier mvst pl'O'IIide the ern:i-tlser one (1) hardand Qrr'll(l} soft COpY of thefollowing:

.5enfic;e lTIimua! JO E'ng!i$hlimgljage• Operations manual In English Ittnguage

.Vll~d and currant Certificate of Comj)flanClt of manufactuter of. ~ 'l!qUipm,l'tt with the latest version of the ISO '13485: Q""lity

BtlJgeml!!t'lt$vstem - R-eq\Jif.emen~ fO! regUlatory i'NfPQje$ fn tntiune Qf ~ manufacturer. The Certifleati!$must be isstie.o by btl

'ndepe(ldet~t Ce'rtj!yfhgSfJdtlAg~V·

0.Valid and cutfent certificate Qf Compji"al'1C1!latId/Ot Ttut R.eport onhQ 1at",n~r.t.:> ...<:>(II;.e~&ol-2-

. l$coUnted models andwen! notubjecittl to aw.,pt~lJttt ~ij. ' I'Complv Qn tnese,stateftu:mU.t~r Me~~'lrit. wi'!t'PJ'GVJde-

jI the above l1'Ienuone(fequb'el1'lentslease !lee attached certifIcates)

I '

Opet.aU! (l10) "t a mediasl ~.vIQdl$triburor is$u.ed bv the Ptlllrppinl1! roodand Orug Admlni$tra\iQn. In ~as~ oJ~~ LTO, th:l fo!!;;-.I:'ltog mu:.t!;;;!lsubmltted~}l Copy of expired LTO,1I)AppllQation for renewal,Hi) Offielal Receipt as prQOf of paymentfor the renewal or LTD.

t.Manuals: The sUpplie1 mustptovtdethe end-user One (1~hardand one (11 soft copy of thefollowing:

1

1.. 'Se~ m;1mIJal Tn Ep,.Usb 19l1&ullge - Corop!y• ~atl6m mal'lualltl &!g115h' .

l~ngU3il~ I

rco. mpiy

Comply on these stat.mel"ts,avioUt MeDevic:es, Inc. will provideIIthe above mentioned _jequlrflmentsPlease s" attacbed certificates) __S8~& §!!tsPaBO,Valid and current Certificate ofompllllf'!.<:.e of manufacturer of the

Uipmel'lt with the latest version ofIS0134~; Qtr.il1t¥M~flag~f\'\I!"trem *fl~uir!!ments for regulatory

iIt.pQ"S lrtthe O';ll'ftl!at tMift'liillufllc:WN!f. Th~~tate$ must be$Sued by lin inde~nOent O!rbfvingody/Age'Ocy.

Com pi.,.

Comply

r -: PURCHASE ORDERBATANGAS MEDICAL CENTER

JOSMEP' ENTERPRJSES . . "~-Supplier: P.O. No. 21-11-0367Address: lavellana E. Lopez St., Date: 18 November, 2021

Jaro, IloiloTIN: 183..772·161-000 Mode of Proeeremeat; PBAUG2021

'Gentlemen: -

Please furnish this Office the following articles subject to the terms and conditions contained herein:Place of Delivery: Batangas Medical Center Delivery Term: NO P.O., NO AcceptanceDate of Delivery: 60 calendar days upon receiEt of P.O. Payment Term: 30 days upon complete delivery

Stooki - -Property Unit Description Quantity Unit Cost Amount

No.1 set Digital Visual Acuity Chart 1 126,000.00 126,000.00

Brand:YHASN YPB--2100 Visual Chart

(SEE ATTACHEDTECHNICAL SPECIFICATIONS)

--e~~;--\lli~~~~:~ Bate ngas Medical CCO~I IS310N ON! ,'JOlT

I~ECEIV~ D "r~~~~8 Y: :/ - - -- ------- . ~osa;;@:1Elv - ~·/lZl:ruJili'"I "J,"I ~r~

Note: 'j 1111';: / .2.n· ..

Please attach the foHowing if applicable, upon delivery( HQ ettachment NO eecept.nce of delillery)

1. Certificate of Product Registration from FDA~ 2. Certificate of Good Manufacturing practice (rom FDA

3. 8atan RGlGasf; CaitiffoatG from FDA

TOTAL 126,DOO.OO(Total Amountin -Words) -lOne hundred twenty-six thousand pesos only

In case of failure to make the full delivery within the time specified above, a penalty of one-tenth (1/10) of one (I) percent forVery truly yours, ,t/l/

RAMONClTO C. MAGNA YE,MD,FPCS,MHA

22 NOV 2021 -Conforme: rnAA~ . 0_ eM?..

Signature;i)ri1lted name of SupplierDate "'~ ~ ~ •2I.~ J

Fund Cluster: 7\1 ORSIBURS No.: 1i5-~~Q_.Funds·Available: ~, eee- (I'i) J.;)ate.ef.the .ORSlBURS!

CABMIN~lLLO'CPAAmount: 126,0 O. 0 .'

~~qJ(o~Acco tIV .c.:DOH Govemmem Accounting Manual

Page 1of I

PURCHASE ORDER·B-Al'ANGAS-MEDlCAL-CENTER

~uppller: PERRY A TRADING CORP.Unit 116 CattJeya Condominium R. Cruz St.

Iddress: Plnagbuhatan 1602 Pasig City

P.O. No. 21-11-0366


.Mode-of-Pr-ocu.meRt: ;;.Sl=V,='P=======:

,entlemen:Please furnish this Office the following articfes subject to the terms and conditions .contained herein:

)ate of Delivery:

'lace of Delivery: aatangas Medical Center Delivery Tenn: . NO P.O., NO Acceptance

15 calendar days upon receipt PO Payment Term: 30 days upon complete delivery

Stock!Property

No.Unit Description Quantity Unit Cost Amount

. units . laptop Computet

Please see attached Technical Specifications

Very truly yours,

2 87,500.00 115,000.00

(Total Amount in Words) One hundred seventy five thousand pesos only.

~:se of failure to make the full delivery within the time specified above, a penalty of one-tenth (1/1 0) of one (1) percent forevery day of delay shall be imposed on the undelivered item/so

TOTAL 176,000.00

RAMONCITO C. MAGNAYE,MD,FPCS,MHA

Medical Center Chief 111 9 NOV '2021Conlonne: -~a:ata-

Signature over printed name of SupplierDate Nov. 25,2021


CARMINA C. ~,CPAA~'

~--

ORS/BURS No.: ac;-1lJ1l01-l2rOr-lI- (tl1"J (fl.-Date of the ORSIBURS: .11C.f 1-"Amount: ., 176,000.00·

(

Technical SpecificationMOdel: ASUS TUF Dash F15 Gray FX516PC -HN021 T 17Processor:· Intel (ore 17-11370H Processor 3.3 GHz {12M Cache. up to 4,8 GHz. 4

»=>. cores}Graohics: NvtDIA GeForce RTX 3050 4GB GDORGDisplay: 15.6-inch FHO IPS 144HzMemory: 8G8 DOR4storage; 512GB Mol NVMe POe 3.0 SSDO.S.: Windows 10 Home1/0 Ports1x 3.Smm Combo Audio jacktx HOM. 2.0bsx USB 3.2 Gen 1 Type-A1x Rl45 LAN port1x Thunderbolt .4 sueocrt Display Port I power deliveryxevooard and TouchoadBacklit ChicJet KeyboardAudioDTSsoftwareBuUt-in array microphonezx 2W speakerNetwork and CommunicationWi-Fi 6(g02.1' aX}+E!luetooth 5.1 (Dual band) 2*2:(*BT version may change with osupgr sees. JWl-Fi 6{802.11 ax}+stuetooth 5.2 (Dual band) 2*2;(*BT version may change with OSupgraoes.)Battery76WHrs. 4S1P, 4-ceU u-ionPOW~(supply~6.0,. 200W AC Adapter, Output: 20"'10(, 1OA. 200W, Input: 100-240V AC, SO/60HzuniversalTYPE-C 'iOOWAC Adapter, Output I.fJvDC. SA iOOW. input iOP-240VAC SOi60Hzuntversa!Weight2.00 Kg (4.41 lbs)oimensrons (W x 0 x H)36.0)( 25.2 x 1.99 - 1.99 em {14.17" x 9.92" X 0,78*' - O.78tt

}

r>. PURCHASE OR.DER /\IJATANGAS MEDICAL CENTE.

SUI)pUU,'j I'A;,.U;NT CAR1~ COIU'()RATJON 'Addrt',s!J: Alllhsco Olds" McArthur lIishwny, I)olo!cs,

San FCI111l11do,J'lUnpnllSIlUN: 000.26$·811-000

P.O. No. 21- I 1-0365-...;;;..;....;..:.....;;.:,;.:;~-

Date: November 11.2021

Mode of Procurement; PB JlUlC2021

Gentlemen.'Please turnish this OfJico tho following articles sub 'ect to the terms and conditions contained herein:

Placeof Delivery: Batanlas M~dical Center Delivery Tenn: NO P.O., NO Acceptanceionic of Delivery: As need arises ' Payment Term: 30 days upon complete deliveryI

: Stock!ii Property Unit, No,

i'

Description Quantity Unit Cost Amount

POL YOL YCOLIDECO/ POL YOLACTJN-L-RAPID, ATRAUMATIC 2~OABSORBABLE

, (SYNTHETIC). STERILE, BRAIDED,PIECE COATED, UNDYED, LENGTH: 70.90CM

(36"), NEEDLE: 36MM 112CIRCLE,DOUBLE REVERSE CUTTINO

1ID~@~J1'W~]a NUV 2 1 LOLl :'J7n M~NoN: l..~ __j,TJ",Ploasc attach tho followi~g ifopplicablo upon dcliVCl}'(NOtlllllCJrntml NO ~ce of tkI;~)l, Certificate of Product Rcsistration from FDA2. Certificate of Good Manufacturing pnlCtico from FDA3. Batch Release Certificate from FDA

500 233.33 IJ6,665.00

~=,..,.,__~~-,~ -.,-~-.'''' , "- -.-'- -~ ;,.~ . <>,'." , ld.) h1t. , '~dl l"E . I,; -', ~. ,.. ,. ,OfI1:.'( i" L t 1\'" ', '.\ r -, \ -.... ,i '., -' ...;".ll~(.!f\JAl)!'ll· i. " • ../ I

I" 1'\[9['2, 'in' \ !/"'i, --, ,'~'~--I!, ----- .._ -41 '.! ''2' 'II Ii I , '-'!I.l__

ol;.~,,- , !~=-,t----- J

TOTAL 116,665.00(Total AmOWlt ~nWords) One h,mdred sit/een d'Dusand'sLT hrmdrtd sixty fIVe pesos o"/y.

In case offailure to make the full delivery within the time specified above, 8 penalty of one-tenth (1110) of one (I ) percent forevery day of delay shall be imposed on the undelivered item/so

Very truly yours,

RAMONCl'l'O C. MAGNA \'I4MD,Jo'PCS,MUA" Medical Center Chief II, 9 N, OV 2021,Confonne: __ ...:.~.:.;.'..:..;.,\:...;.Q\~"'-- _

Signature over prinDate

Fund Cluster:Funds Available:.

,j• t. '·~·:..;':~I•.,.:.,'.' ,.., _ ... '~"">-'r;'" 'T' ~~ J

~ •J d l , '_,

ORSIBURS No.: ..Dale of the ORSIBURS:AmOWlt: JI6,665.00

DOH Govtmmcnt Accounting Manual

~ .... '. '. .' '~-,.,,', .",1.. :

PURCHASE'ORDERBATANGAS MEDICAL CENTER

Supplier: PATIENT CARE CORPORATIONAddress: Amhsco Bldg., McArthur Highway, Dolores,

San Fernando, Pampanga

P.O. No. 21-11-0363--..;........: ;;..:...:-----Date: November 16,2021

TIN: 000-265-811-000 Mode of Procurement: PB June 2021


Place of Delivery:Date of Delivery:

Batangas Medical Center Delivery Term: NO P.O., NO AcceptancePayment Term: 30 days upon complete deliveryAs need arises

Stock!Property

No.Description Quantity Unit CostUnit Amount

OXIDIZED REGENERATED CELLULOSE, lX2(2.SCM X SCM), NEEDLE PUNCH WITH NONWOVEN STRUCTURE STERILE, ABSORBABLE,ABSORBABLE WITIDN 7-14 DAYS

OXIDIZED REGENERATED CELLULOSE, 2X4 (SCMX 10.2CM), NEEDLE PUNCH WITH NON WOVENSTRUCTURE STERILE, ABSORBABLE,ABSORBABLE WITIDN 7-14 DAYS

50 1,350.00 67,500.00PIECE

110,000.0050 2,200.00PIECE

OXIDIZED REGENERATED CELLULOSE, 4X4(1O.2CMXl O.2CM), NEEDLE PUNCH WITH NONWOVEN STRUCTURE, STERILE, ABSORBABLE,ABSORBABLE WITIDN 7-14 DAYS

PIECE 40 3,200.00 128,000.00~. -----I~atang~s M~ Leal CenterC PIVlIS010N ON ,L\UDIT

By RE~,~~D, IiCJ J .on:ll

Please attach the following if applicable upon delivery(NO attachment NO acceptance of delivery)

1. Certificate of Product Registration from FDA2. Certificate of Good Manufacturing practice from FDA3. Batch Release Certificate from FDA

r );'i ~•

'11111"

TOTAL

(Total Amount in Words) Three hundred five thousand jive hundred pesos only.

Incase offailure to make the full delivery within the time specified above, a penalty of one-tenth (1/10) of one (1) percent forevery day of delay shall be imposed on the undelivered item/so

Very truly yours,

:onforme fJ:!_,1 Of, ~'c;L~-S-ign.i..:-a-tur-e..:Jov~e-r-p.!...rt-·n-te-d-n-4""~~,oL~-5;i!S}-ppp-l-ie-r--

Date Jill ~ r/./l

yvRAMONCITO C. MAGNAYE,MD,FPCS,MHA

Medical Center Chief IIll.7 NOV zGt

:<'undCluster: 0\Funds Available: l~ Ci1lD .1(\)

(Jl-)r- ,...,~~A v.C~S!JLLO,CPA~~~rbll\Y w liil A~IVIn r ,(' .. 1111

ORSIBURS No.: ()Z-/Drlol...:J.f-lI-~Date of the ORSIBURS: /'!/fp(OlfAmount: 305,500.00


'( ..'

..,~,.,.... ~

~ ....-~,.. --~~/Iot_

,.,;



Blk.81 Lot 17 Las Palmas Subd. Cay PomboAddress: 3022, Sta. Maria, Bulacan

TIN: 601-662-404-000

P.O. No. 21-11-0361

Date: November 16,2021

Mode of Procurement: SVP--------1Gentlemen:




Stock!Property

No.Unit

pes.

Description

Cadaver Bag - Adult nylon bag for storage andtransport of cadaver with front zipper and backhandle, any color, size: width 28-30 inches, length70-80 inches

l~ Batangas M~~ical ce~~~-'-!. COMISSION ON AUDITI RECE~VED

~v"e. 9;tp::2'j 11118 2.&g

Quantity Unit Cost

110 423.00

Amount

46,530.00

(Total Amount in Words) Forty six thousand five hundred thirty pesos only.

TOTAL 46,530.00


Very truly yours,

RAMONCITO C. MAGNAYE,IIW~'PR&r~\Medical Center Chie~~I'"...::::::::- _...;;>

Conforme: t-L' /--1 () I ~ + ,~Signature over Print~e a SupplierDate If,- I'r-- z ,

Fund Cluster: 01 ORS/BURS No.: (f).' 10\1(')1- !'1(')~-Il-(rmMDate of the ORS/BURS: \\llIDIXI

----I.J4-Llt1~--~Amount: 46,530.00---------~---I

Funds Available: lHo~·pD

n,' U:C" ~-~'~~~"~',~®"RMINAg;. ~fM[Jl\\[~~r',,)1I" ,~\ Ac unta!U 1111 OVI

I r' NO\;: '2 Lfi~1 . NOV 1 . 7071 I

\:\\ -~ \_fi\. ~UIJrns""'C:? l~lTU 2?.~- JL:J\3l3U-----------------

~:


Supplier: KING OF KINGS. TRADINGBK 4 LT 19 Mertos St.,_TierraNCiVa4 Brg.y. 1~7.1-,

Address: catoocan City, Metro Manila

TIN:

P.O. No. 21·11·0360

434-441-812-000


Mode of Procurement: SVP--------1Gentlemen:

Pleasefumistl: this: Offi.ae: the. follOwing. artiCles- subject to- tRe-terms and- conditions contained herein:


Date of Deliver;: 15 calendar days upon receipt PO Payment Term: 30 days upon complete delivery

Stock/Property Unit Deacl'Jptlon Quantity Unit Cost Amount

No.pes. Rectractable Tent with side panles 3 x 3m 200 2,880.00 576,000.00pes. Raincoats 500 88.00 44,000.00pes. Folding Table 6ft. 40 2,928.00 117,120.00ees. -Folding "Fe&18-61tC:h4titl"A-- 80 1-\936·. 00- . t55,04O.00pes. Umbrella Large 100 488.00 48,800.00

! 8atang ~s Meelic2.! cet~~->r-l~OMIS,)ION ON /- UD1T t

RfE~.EP E·D 11'1

By iII. ;,:~. . :~Ti/2-~L~2J-!l T ilil:: --, ' l4:J?j .. I

........t--~--+-=-=~----1---------'

(T-otalAmountlIT Word.s.).NIne. b.wldl'ecff'Otty t-housand nlRe hundred sixty pesos only.

In case of failure to make the full delivery within the time specified above, a penalty of one-tenth (1/10) of one (1) percent forevery day of delay shall be imposed on the undelivered itemls.

/~.Conforme: DA'l(ILA 66

Signature over 'Printed name of SupplierDate 121231202-1

TOTAL 940,960.00

Very truly yours,.

RAMONCITO C. MAGNAYE,MD,FPCS,MHAMedical Center Ch'" IJr 1'\\)~ .»:t, . .


111 ORSi8URS No.: 0'2·iOijOi· QoiHf- ffto'4JDate of the ORSIBURS: IIlnJ)1

CARMINAC~PAACCoc~tlV

Amount 940;960.00-----------------~~~~DOH Government Accounting Manual

JOB ORDER. .. ... , ...........,

IQIlAUlY ~ TIIAOWG I.JOOI::::L-.2::~~.~:.-.~>,-,,~Unit 306,Aloha Plaa "4~4 TilMan, Sora Ave. 8rgy" OAT! •

i'.uIUlt. OueteR Ci!Y, Metro manHa . 1 November 12 , 2021MODE Of SVP

~7..e03-000 I"OCUREMeft'l'

CON1RAcrOR /SUPPlIER

TIN NO.

tlATANGAS·MlDtCAl. CEHttRKUMINTANG fBABA. IATAN6AS anPIACf or;DEUVfRY

DATE OF DEl.fV£RV PAVMENT1iftM !Odaysupon

AMOUNT

1

COlT_cd"e Maintenance of E1ettricalStimulator8rand/~odel: BlackbOKSupply and Installation of the followln. partsEMP Electrod Wire

£MIl 2 latwyPackSpeclftcatlons:8~ttery type Nlekel Metal Hvdride {NIHM)Volt.age 4.SVNumber of Cell 4 pieces 1.2V 8semAHllattery Cell£MP 48attery Pack

Specifications:Battery type Nickel Meta.f Hydride (NlHM)VOltaa!! 4.8VNumber of Cell 4 pieces 1.2V 2.000mAHBattery CellWarranty: 12 - 18 monthsProvision of the following:Service ReportsWarranty CertificatesDeliv Rece. and SafesInyoice

20

S

5

pes.

pes.

pes.

UNIT COS!

1,900.00

S,20(}.OO

38,000.00

26,000.00 '

37,500,00

(TOTAL AMOUNT IN WORDS) Olle hundred one thDusand ~ hundred pesosoly.

7.500.00

By

In case of failure to mak.ethe full delivery within the time spedfied abOlle. " penalty of one-tenth (1/1:0) of one (1) pet<:ent for evBy diWof detav $haUbe Impo~ed on ~e undelivered itefflfs. t-.... /

Very truly yours, r "6RAMONClTO C. MAGNAYE,MD,FPCS.MHA

Medieal Center Chief It

, Conforme:

ulated In the

fund Cluster:Funde Available:

-f 6 NOV 2021

PURCHASE ORDERdATANGAS MEDICAL CENTER

Supplier: STA. ANA ENTERPRlSESAddress: No. 10 Bellington St., Suburbia North

Maimpis, San Fernando City, Pampanga

P.O. No. 21-11-0358-------Date: 12-Nov-21-------

PUBLIC BIDDINGJULy 2021TIN: Mode of Procurement: ----------------

Gentlemen:


Batangas Medical CenterPlace of Delivery:

Date of Deli very


Payment Term: 30 days upon complete deliveryAS NEED ARISES

Stock!Property

No.Description Quantity Unit CostUnit Amount

Coagulation Test wuh I;i"~)'Automated Analyzer1. One (1) 101 that includes all accessories such as brand new set of controls.calibrators, cleaning solutions, diluents and other supplies needed in the lest.::.Machine with computer set and printer. UPS and AVR must he provided andinstalled. procedural demonstration be done,3, Can run 0/ least 25 samples pel' testll1g., (.'(lml)(IIIYengineer or technician is always ready in case of machinebreakdown.5, Backup machine is always ready/or any interruptions.6. Reagen! shelf life IIIIISI not be less than 6 months7, Analyzer IIIIISI be capable of 011 board dilution.H. To include regular preventive maintenance and fIICJ hine calibrations.9.. Must include certificate ofwarranty and material sa/ely data sheet,I(), With stand alone US/or bar coded samplesI I Provision of letter l!f acceptancefrom other institution locally (private orgoverruneru).12, Any abscence of any items in the 101 shall be considered 110n responsive,

B~tangm M~~~i~:;-Cen;~~-II'COIVIISSIP:\ Oi AUDIT I

RE{~~n ED8'1'{ i;'i:e'j IIlle

BRAND: MACCURA, CHINA

768,000,00/5. (JOOa, Activated PartialThromboplastin riffle (AP77).

b. Prothrombin Time (PT)

51.20test

972,750,0015,000 6-1,85test

SUBTOTAL 1,740,750.00


In case offailure to make the full delivery within the time specified above, a penalty of one-tenth (1/10) of one (1) percent forevery day of delay shall be imposed on the undel ivered itern/s.

I Very truly yours, NI ~ RAMONClTO C. MAGNA YE,MD FPO.MHAMARIA CECI]'1A~. TRINIDAD Medical Center Chief II '7 LH ' ..

Conforme.

ORSIBURS No.:Fund Cluster:Funds Available: Date of the ORSIBURS:

~ARM~- 4lLLO,CPA ~~ 1~ Amount

[~~l~tTl~ r-= ='l~I?t.Qr,-;Jr;-b~ page J 0/3

.!1:::J ~ LS:J.u, '3 L._, I DOH Government Accounting Manual

:,c.; rf ~~~lLB Y: ~---~:-~~-'M

_-'"PURCHASE ORDER

BA TANGAS MEDICAL CENTERSupplier: STA. ANA ENTERPRISESAddress: No. 10 Bellington St., Suburbia North


P.O. No. __ 2_1-_1_1-_o3_5_8__

Date: 12-Nov-21-------PUBLIC BIDDING

JULy 2021TIN: Mode of Procurement: -------Gentlemen:


Batangas Medical Center Delivery Term: NO P.O., NO Acceptance


Place of Delivery

Date of Delivery: AS NEED ARISES

Stock!Property

No.Description Quantity Unit Cost AmountUnit

1,740,750.00

60,6-10.00

BAIANCEFORWARDED

Pipette. 1 mI. measuringTRULAB, CHINA

160 379.00

./0 988.00

40 987.40

5 195.00

5 214.50

5 23-1.00

pack Pipe fie lips, yellow IOOO'iJackTRUIAB, CHINA

Bottle Horse Blood (lOOm/.boffle) 39,520.00

Bottle Sheep Blood (J ooml/bonie) 39,496.00

pc

Pipette, 5 ml, measuring'IRULAB, CH1NA

1,072.50pc

Pipette, 10 ml, measuringTRULAB, CHINA

1.170.00pc

Volumetricflask. 100 ml 20TRULAB, CHINA r . - --Volumetricflask, 2~0 m/8~t~ngas Med;cal Ce!lim 3 i7 'RULA B, CHINA' COIViISSIOi'1 ~f\J Y._J DIT

106.60 2,132.00pc

162.50pc

\

SUBTOTAL 1,886,243.00

1.----..

.otat Amount in Words)

In case of failure to make the full delivery '" IUlIn WI:: ume specineo aoove", penalty of one-tenth (1/10) of one (1) percent for everyday of delay shall be imposed on the undelivered itemls.

Signature over printed rvn.f of s~p~rO 21Date Uec 01 L

Very truly yours,

RAMONClTO C. MAGNA YE,MD,FPCS,MHAMedical Center Chief U

ORS/BURS No.:Date of the ORS/BURS:

Fund Cluster:

Funds Available:

page 2 of s


975.00

487.50

PURCHASE ORDERtiA T ANGAS MEDICAL CENTER

Supplier: STA. ANA ENTERPRISESAddress: No. 10 Bellington St., Suburbia North

Maimpis, San Fernando City, PampangaTIN:

P.O. No. _---=2:..:.1...,:-1:..;1_-0;.,:3.,;,.5.,;,.8__Date: 12-Nov-21-------

Mode of Procurement:PUBLIC BIDDING

JULy 2021


Place of Delivery:

Date of Delivery:

Batangas Medical CenterAS NEED ARlSES



Stock!Property

No.

pack

Unit

BALANCE FORWARDED

1.560.00 t.sso.o«~ --v-----j13 Batanqas ~1.4: t31 Cenii:;r 573.30CC ivl1SSIOj\ eN .A.UDIT

R~'~c;\ EDBy :dI r • 'j ~f

, _/~ J() ,./ /::l.D.2I'j If II ~ 1 _~:iq

_\ -

Quantity

2

50

6

12

3

1

Unit Cost Amount

382.:W

387.50

312.0(J

795.60

280.80

Description

pc Volumetricflask. 500 mlTRULAB, CHINAlest tube. 10 mll'RULAB, CHINABeaker, 50 ml, glass'/RULAB, CHINABeaker. I (JO1111. glassTlW/AB. CHINABeaker. 250 mI. glassTRULAB. CHINADropper or pipette, disposable, 3ml, I (Jape/pack

pc

pc

pc

pc

pc Wash bottle, 500 mlTRU1..AB. CHINANote:

Please ouact, the following if applicable. lipan delivery,

( t:iQ attachment NO acceptance of delivery)

I. Certificate of Product Registration from FDA

2. Certificate ofGood Malll<jelctllring practice from FDA3, Batch Release Certificato from FD/I

J,886,243.00

191.10

7.75

52.00

66.30

93.60

GRANDTOTAL 1,890,534.40

(Total AmOlU1t in Words) One million eight hundred ninety thousand five hundred thirty fourpesos and forty centavos only.

In case of failure to make the full delivery within the time specified above, a penalty of one-tenth (1110) of one (l) percent for everyday of delay sha.11 be imposed on the undelivered item/so

Conforrne MARIACECIL~IDA:'Ytru::;~:CI~~::~~;;~:'PCS,MHA.,Signature over Qrinted nam~f Supplier

Dale Dec 6, ~021FW1d Cluster:Funds Available:

~ARMIN~ -4LLO,CPA~~U~~I\~~w

ORSIBURS No.:Date of the ORSIBURS:Amount:

rO~~~~+ ~

1,890,534.40

page 30f3


JQBORDER

fWO_,"tJfeSWftft £Mits

iWt;mw'lt~ .1tft Chain~l!:W~~,

Q!men~; 91Ocm}l 7SOcm x 400mr

liM-'*' t.Iftit mQ!Ad have eMirshtl\t~

lDelJ\itatVanf 1~11Mfon·~ ~tlOn of1'1bY d~.et GO,.,.,itOrY

gyAlmt UMffi

17f

:Jet,.

I!ItI,

Ij

Ii,

~~et;'·fU!'ldt AVttit~litlt'.

M\OUNT

'I.,~

:...: ' ..._......., """". ,",-, -,,- - •.... ~ _.r .-.,,- •. . ~ ~..W',i' "...; .:.' ..c.. - .. f

PURCHASE ORDER ---<;»

BATANGAS ~DICAL CENTER

'S\~pplier: POMONA PHARMACEUTICAL DISTRIBUTION P.O. No. 21-11-0351

Address! 3S Evangelista Street. Date: November 12, 2021, '

; ,Batan~as City

'$.;IN: 421-390-116-000 Mode of Procurement: SVP.: , -

};Jentlemen:Pleese furnish this Office the following articles subject to the terms and conditions contained herein:1,,.

;Plaoe of'Delivery: Batangas Medical Center Delivery Term: NO P,O., NO Acceptance10 calendar days upon receipt of

~Date of Delivery: P.O. Payment Term: 30 days upon complete delivery

~;, Stock!r 'Property Unit Description Quantity Unit Cost Amount ,

No.-, LOSART AN+HYDROCHLORTHlAZIDE.. - TABLET (50MG LOSARTAN 12.5MG 3,000 1.85 5,550.00, HYDROCBLORTIAZIDE),

hI Batangas Medical Cent0~i ' ,.1

'I'f; i COlv1iSSION ON AUDIT I~'. l

" j- / RECE~VED ;I

~ In:©~!r :1I," . ~ . 8v

( : I, it"!

Y~.~

(~ .~8J: ~ . _ ... -J mA')n~

I Note: E.J ........

Please attach the following if applicable upon delivery~-III!I •••• "

hi' t: f\) r'"W!-t' (NO attachment NO acceptance of delivery)'j;

:ff;~ 1, Certificate of Product Registration from FDA

f' 2. Certificate of Good Manufacturing practice from FDA3. Batch Release Certificate from FDA

.["~ TOTAL 5,550.00"f

~~ ,(Tatal Ameuntin Words) Five thousand five hundred fifty pesos only

;' ;,Tncase of'failure to.make the full delivery within the time specified above, a penalty of one-tenth (1/10) of one (1) percent for,.r·'.I,every day of delay shall be imposed on the undelivered item/so

',' ;;: ~~

E~

Very truly yours, yv~;" -,. ...

k~..li~ RAMONCITO C. MAGNAYE,MD,FPCS,MHAI. Medical Center Chief II ,( t- ~ ilV'J u"'-',(!.oru-'Jrme:.', .Signatur~er printed name of Supplier'1' ..:1 Date

- Fund Cluster: 01 ORSIBURS No.: Q~.'ctlGf·~lJ .0::..- .. \

Date of the ORSfBURS: IIhg~_..,Funds Available: ,J..t'tt2 . !'"'::, Amount: 5,550.00, ~l •

'ii

~~-:uJ~I

'I .. _ CARMIN}e. C S O,CPALl \i·<. ,

ccountaBe.. ~...

. ': .~i v

".~i ".. -:.".''t- (

,


..'"

~ PURCHASE ORDER ~

.dATANGAS MEDICAL CENTEl<.'-'

Supplier: RBGM MEDICAL EXPRESS SALES, INC. P.O. No. 21-11-0350

Address: Maginhawa Street, Quezon City Date: November 11, 202.1

Metro Manila, NCR, PhilippinesTIN: 205-392-470-000 Mode of Procurement: PB August 2021


Place of Delivery: Batangas Medical Center Delivery Term:(

NO P.O., NO Acceptance60 calendar days upon receipt of



No. - ..--:-

INTUBATING VIDEOUNIT ENDOSCOPEIBRONCHOSCOPE (FLEXmLE) 1 3,199,998.00 3,199,998.00 :

-Karl Storz .

r>:

PLEASE SEE ATT ACHED SPECIFICATION!,

i--_.__ ._-_-. -----_._,_ -

'iT E: ~ ~ ""'\''7 - J Satan ias Me':! ~;_J,i (>:"ierCOMI~ SION (li\J ;\LJlJt''':''::' U ._

W r. .. i ~~~J"'- R.~"'~E~'-",N ""v'·· ,.'_ __' ,'"., !I,."tI

(._____~---~-~~v-" -

Note: tv) 8v SAI/AuJll .eol"_,,, ",I"".- ---4--~--.._-._-.Please attach the following if applicable upon delivery I I. 'i ~r: --J~!l 2L_.___~ .(NO attachment NO acceptance of delivery) '11111";' __ ._ :2:'131_ ..1. Certificate of Product Registration from FDA

.~. --2. Certificate of Good Manufacturing practice from FDA3. Batch Release Certificate from FDA ;

TOTAL 3,199,998.00

~~Total Amount in Words) Three million one hundred ninety-nine thousand nine hundred ninety-eight pesos only

In case of failure to make the full delivery within the time specified above, a penalty of one-tenth (l/10) of one (1) percent forevery day of delay shall be imposed on the undelivered item/so

"

Very truly yours, VV

~

RAMONCITO C. MAGNAYE,MD,FPCS,MHA ,.


\1 5 NOV 2021Conforme: Jl1Ntll{ ~u.ttSignature over printed name of Supplier

Date 1{bVtN t?JtR I~I ~6~1Fund Cluster: 01 ORS/BURS No.: ~- k:2 flol-~t2I!1' 1(T~ C?

Funds Available: <21, let a 'fC18- Ot> Date of the ORS/BURS: lo~l~

CARMIN~CPA

Amount: 3,199,998.00"

rJC!~Accountant IV Ifll~~~ page 111'


Supplier: PATIENT CARE CORPORATIONAddress: Amhsco Bldg., MacArthur Highway, Dolores

San Fernando, Pampanga, 2000 PhilippinesTIN: 000-265-811-000

P.O. No. 21-11-0349--------Date: November 11, 2021

Mode of Procurement: PB August 2021



60 calendar days upon receipt ofP.O.Date of Delivery:

Unit


Description

FORCED AIR WARMING DEVICE WITHUNIT BLANKETS

-Bair Hugger Model 675 Warming Unit

Quantity Unit Cost AmountStock!

PropertyNo.~~~~~----r-----------------+----+------r--------""~

PLEASE SEE ATT ACHED SPECIFICA nON

350,000.00 700,000.00

Note:Please attach the following if applicable upon delivery(NO attachment NO acceptance of delivery)1. Certificate of Product Registration from FDA2. Certificate of Good Manufacturing practice from FDA


~'otal Amount in Words) Seven hundred thousand pesos only

2

T11I1~ __ =8:"'f"~,,____ --j

TOTAL 700,000.00

In case of failure to make the full deliv~eWithin the time specified above, a penalty of one-tenth (1110) of one (1) percent for.very day of delay shall be imposed on th n elivered item/so "

( )1 A Very truly yours, yv'" RICK F. Vf/\Territorial SalesR~sentative RAMONCITO C. MAGNAYE,MD,FPCS,MHAPatient Care Corpo tio Amhsco Medical Center Chief II I 1 5 NOV 2021

'onforme: 09190692799/ C 281716

Signature over printed n1me of SurplierDate 1t lu/1;1

und Cluster:

unds Available:

I 013001 rrf). CDQ

CARMINA C. PStlLL9,CPA ~

ACCO~ II/!~~~......-- --

ORSIBURS No.: (t. rOIlOI'~' (o'@l27

lol~l~Date of the ORSIBURS:

Amount: 700,000.00

page 111DOH Government Accounting Manual

PURCHASE ORDERBAT ANGAS MEDICAL CENTER

Supplter: NEED INK SALES & SERVICES P.O. No. 21-11-0348Address: Optimum One Bldg., S. Osmena St. YLA, Basak Date: 11 November. 2021

Laeu-Lapu City, Cebu, Phili~einesTIN: 206-149-524-000 Mode of Procurement: NP-TFB


Place ofDelivery. Batangas Medical Center Deli very Term: NO P.O., NO AcceptanceDate of Delivery: 30 calendar days upon receipt of P.O. Payment Term: 30 days upon complete delivery

SIOo.k/Property Unit Description Quantity Unit Cost Amount

No., units Printer Laser, Multi-Function with ADF 3 20,980.00 62,940.00

Brand:f>ANIVM

(SEE ATTACHED TECHNl('AL SPECHIATJONS)

- .- -_ .r ....~..~._"'-_-

.j Batanqas ME:. "r·:3i (,:"'" .'

( o IVli ('; :~.I •• to- ..} ALl:.:) T

I1'- ..... "

R-~l.....:\..·..oct ',. "-oJLL'~~~:. )" :~ j .',_,r :

Not .. : O'~By ,Plasse attach the following if applicable. upon delivery A

( ~ IIIh1chme"t !!Q accept""",, of delivery) 11, ~e lJill'l fT2i;i7~' -'-1 CertifICate of Product RegIStratIOn from FDA 'It Ile

'f lQ:DI-.2 Certificate of Goo<l Menur ctunng precUoo from FDA -----3. Blfioh RaI6lfstJ Certifies/ .. from FDA

TOTAL 62,940.00

(Total Amount in Words) ISL'\;ty-two thousand nine hundred forty pesos only .In case offailure to make the full deliverv within the time specified above, a penalty of one-tenth (1/10) of one (1) percent for

~11

Very truly yours. { ....-......, ~.: )'

RAMONCITO C. MAGNA YE,MD,FPCS,MRA

Conforrne: i <, ,\f,) \ 2G2'Signature over Pl~nar~pP\ier

Date Noven el~, I

Fund Cluster: c ..Yt" ORSIBURS No.: 06-lr)i 01, 'dO,?! -tl'~D I---Funds Available {o2'. 9#",: Dale of the ORSfBURS' \l1l~~Yi-

( r- Amount: 62,94~.OO, ,CARMINA 9XASTlLLO.CPA -({(jf;

Accountant IV )f I,::(/~,

.....'C, ... <_

DOH Government Accounttng ManualPage , of'

','

---- · ,

- PURCHASE ORDERBA T ANGAS MEDICAL CENTER

Supplier: METRO DRUG,INC. P.O. No. 21-11-0347

Address: Manalac Ave., Bicutan Date: November 1I, 2021

Ta~uig Cit~ -TIN: 004-641-985-0000 Mode of Procurement: SVP

Gentlemen: ' .Please furnish this Office the following articles subject to the terms and conditions contained herein:

· '

Place of Delivery: Batangas Medical Center Delivery Term: NO P.O., NO Acceptance10 calendar days upon receipt of

Date of Delivery: P.O. Payment Term: 30 days uEon complete delivery


No,

VIAL VINCRISTINE 1MGIML, 2ML 100 392.00 39,200.00

~-· .

~~©~Il'3 .2.1r-----. rC9»tl

, ~atan98S M Y.i:I:;Cell~I. _. __ '._QI'7ryl>l\ C JI,,'I. :'~\=~!C-'1''I (i~.J J\UDIT

""~A1J f,?:h.'c, QVED~a..... .

Note: G\ -.-. "-~---." ~-Please attach the following if applicable upon delivery ;'

(NO attachment NO acceptance of delivery) III I ...~ , \5~q" '.- - " -

I.Certificate of Product Registration from FDA .___~ ~ ..2, Certificate of Good Manufacturing practice from FDA

3. Batch Release Certificate from FDATOTAL 39,200.00

(Total Amount in Words) Thirty-nine thousand two hundred pesos only

~.ase of failure to make the full delivery within the time specified above, a penalty of one-tenth (Ill 0) of one (I) percent fore j day of delay shall be imposed on the undelivered item/so

Very truly yours, /);/1/


.... _,---- ~~ Medical Center ChiefTI . I..... ~ ...-...... .,_ -Conforme: BELINDA ANONAS

Signature over printed name of SupplierDate november 19, 2021

Fund Cluster: '-1 ORS/BURS No.: a<.~f0 ( I0 I-::U - /l_ -CO')(), )

Funds Available: ,J}1 2LX." i Date of the ORSIBURS: /JL.LJ L~4-Amount: 39,200.00

'*CARMINA C. CASTILLO,CPA .. ic»Accountant IV 1I111/~~

~DOH Government Accounting Manual

.-, .... . - '" ,'''''- ij, "l '.' .., .. '0""'. '-'" "i::,i j1

_'I': 2i -, Pji~-i

~ PURCHASE ORDER /"'-. 11:I ~ ~

BATANGAS NIEDl€AL CENTER .,Supplier: SHOOTING STAR TRADING P.O. No. 21-11-0345 !

,I!

Address: #1 Douglas Fir St., Greenwoods, Pallocan East, Date: November 11, 2021 'IBatangas City l

TIN: 188-243-279-000 Mode of Procurement: PB June 2021 i.tIi

Gentlemen: pPlease furnish this Office the following articles subject to the terms and conditions contained herein: .' ; ~, ! t

Batangas Medical Center . " ~Place of Delivery: Delivery Term: NO P,O., NO Acceptance .'p

.' q~, t;'i 1',

Date of Delivery: As Need Arises Payment Term: 30 days upon comElete delivery1 ,1. )

1·,~'1

Stock/ ;; :ttI

Property Unit Description Quantity Unit Cost Amountl 11I III. li

No. ' jJ. ',

MECETERONillM ETHYL SULFATE lL, r;HAND DISINFECT ANT, FOR HYGIENE ·il

BOTTLEAND SURGICAL HAND DISINFECTION,

1,000 1,755.00 1,755,009.00.~ '~~.. ~ 9

FOR EXTERNAL USE, 30 SECOND RUB-IN ·ilEFFECTIVITY, 10SIBOX. STERILLlUM, ~ "'.

-.'" ~i

BODE CHEMIE GMBH & CO, GERMANY i :1 ~I, 9 '.

lIT: © IT:llW~

:':. ~~~ ~"-"-l .~~iE atangas Me( ';('al Center 1- ~"· "I'~.!

CC. ,

NOV ~ 8 20,1 iV1!SSION ON I'.UDIT 'I 'I~ . (I

RE(1~VEDI I:

i:_fD Pvt') :1

BY:--' !

Note: - -------- . l iif applicable upon delivery By ',;-- .J ) .'

Please attach the followi.,

! ','i ~( (' r ,-v, <J. 12J\~I .1(NO attachment NO acceptance of delivery) ~I'j Ir"t ., ,.~ .- l1, Certificate of Product Registration from FDA - .------ .......~-- J""""'~~. ---'-'O-'~ f.~'-- , i;~2, Certificate of Good Manufacturing practice from FDA " l .,l3, Batch Release Certificate from FDAI ;l ~~,

; r·

~:,I

jIsit~

IfJ

1 TOTAL I 1,755,000.00: nl(Total Amount in Words) One million seven hundredfifty five thousand pesos only. 1~,!

III;

In case offailure to make.the full delivery wi~ the time specified above, a penalty of one-tenth (1/10) of one (1) percent ff:..~every day of delay shall be unposed on the undelivered item/s. . I,~

Very truly yours, rv 1 '. ~:

f. ;(\

~ ¥?; t;J(·l~d

Signa e over printed name of Supplier 1j~~Date November 17 202 Hl:I ....!~:;_~~~~...!..~~=..J.. r'--------------~~<J';'i.. d~;!;

Fund Cluster: 0) ORS/BURS No.: ()1!JO{~¢/J-o:.:o2?H.~Funds Available: DateoftheORSIBURS: /ljJJ:/YL ' :,~,

f .Il!1,755,000.00 ; :i;~~,~I.c.: ~I~...NDll.r....:~~~ __ llbA;~~~~:!!L..L-~~ .........~~~~~-1.:\·

\ : _ . ,. ," ,J .r~ x : _;\ ---------- DOH Government Accounting Manual :~l;L; _), .• _ ~ !~h

\ l"~J f~". 'j r:'

"q't~,;§d

RAMONCITO C. MAGNA YE,MD,FPCS,MHAMedical Center Chief II_

r1 6 NOV 202'

ount:

----------_._-----------

_ f) "),7,


Supplier: NEW QUALITY COMMERCIAL P.O. No. 21-11-0344

Address: #38 A D. Silang St., Batangas City Date: November 10,2021

TIN: 109-033-257-000 Mode of Procurement: Shopping



Date of Delivery: 10 calendardays upon receipt PO Payment Term: 30 days upon complete delivery


No.pack Board Paper, A4, 100pes/pack 100 280.00 28,000.00pes. Certification/Jacket/Holder 100 36.00 3,600.00

~ pcs. Clip, Clamping, Metal 73mm 300 13.00 3,900.00tube Correction Fluid 100 18.00 1,800.00pes. Cutter Knife 50 18.00 900.00bxs, Envelope Mailing, White, long SOO's/box 3 340.00 1,020.00bxs, File Binder, legal, Arch file 3" 30 120.00 3,600.00pcs. Folder, Expandable, legal 2,000 13.00 26,000.00hxs PAOp.rFAstp.np.r metal 500 45.00 22,500.00-~..-, p;p~~C~rt,-~~-i~9'~I,'b'~aFk,Uj&tangas Metji~al CEpack

nt~~~195.00 1,950.00

reams Paper colored, short, hg,hte'a 170.00 3,910.00reams Paper colored, short, pink MISSION ON A JDI9" 170.00 1,530.00

Ipes. Record book. 300 pageF. ViSiO'"R~~( 764 65.00 49,660.00pcs. Ruler 12 inches ~ 100 5.00 500.00

bottles Stamp pad ink (Violet) , By' r- - ~<: .c . ".' - 20 23.00 460.00I . 't •./ .••T __ .,_ .

rolls Tape Double adhesive n ';',ll! . Tn:1l:l111't1J . ou 27.00 1,350.00rolls Tape Double adhesive ~"h Ile - - 10: 0 ~-zro- 60.00 2,400.00rolls Tape masking 1" I..~ -.::JU' 24.50 1,225.00

Tape packaging 2" x 20m .------==... -- 100· 14.00 1,400.00~ pes.

TOTAL 155,705.00

(Total Amount in Words) One hundred fifty five thousand seven hundred five pesos only.


Very truly yours, j/"v

,/~CAi6.J

RAMONCITO C. MAGNAYE,MD,FPCS,MHAMedical Center Chief II

Conforme: ~ Ib~ IblJ: 'iW IT:<;;\ 1 5 NOV 21)21Signature over printed name of Supplier mDate //..2~-~/ NUV ~!,U(I

/J m4;nvl41../I:::SY: rer;:- ....y--:tt7. p:')r,

Fund Cluster: or- RS/BURS-N~;_:--oO-_9,!Xp~-:-ao~-II-am$Funds Available: I~ 32£'00 (i\)\?G.l\ntrIm Date of the ORS/BU Rsl~ U V 1. ~ LUZ 1

rn)r[[f2'~fJnnp,cIh =)~t[ ~ 1,~~Amount: 155,705.00~ .~~it.~4~INA LOI' A ~II"1!Jltl 'e A aunt 1\\ \, J I I ' ~I NOV 1 1 231'1 f' \\\ --

~51 ~l ~~DOH Government Accounting Manual

100 10. .J J U otJ'------------------------

PlJRCHASE ORDERBATANGA MEDICAL CENTER

'lIpplil'r: L1NI)I~ l'I11LlPPfNES, INC P.O. No. 21-11-0343

\ Idn.·~'. l hc l'.ldiul \\'",,1 -I ower. 121h Floor Unit 120 I 12 ADB Avenue. Date: November 10, 2021

llnl~.t~ Cc' .. I,'r. \ landaluyong Cit.

ux. ()UO-ll53-H.'<) ·uuo Mode of Procurement: Repeal Order

-nrlcmcu

- Please fUI'III!'>h this Office the following articles subject to the terms and conditions contained herein:

'I:lCC nl·l)l'.i\cr~: U,tlallglls Medical Center Delivery Term: NO P,O., NO Acceptance)'"'_' ol'Uc'! \ ..:r~: \:-. need arises Payment Term: 30 days upon complete delivery

-.;Inch. ! ..t ,

'1ll'1'(~ Umt 1 Description Quantity Unit Cost Amount1':0. i

1 \" f.: \ 11DrCAl OXYGE 1.612 230.00 370.760.00

I I,I

I -I I ,,

-

I I~~~~~~~ .- .. _- '--' ---. -I-

I I 8a angas ME;:;;I .;;:1 eery." I

I B Y:-,a"i~J.;-~COil 1138101\1 ( I~\IAU ~)I i .

I I 1-RECEP ~D

iI , -

:

1I Ely : .,./ !.\ ote: i ,

II'k~l'"auach the folk-w in!,! i r applicable upon delivery l);'i t (~ "'1 .'(_ oil 'J~/m2J --~-=-~I.

~J_~-----.I

(.\ () attach nient NO acceptance 0/ delivery) '1 trl18 ------ i·__JI I (. cnificate of Pr dUCI Registration from FDA -

I I, (crtiflcate of Good Manufacturing practice from FDA -I 13 I\nlch Release Certificate from FDA1 .

!..

TOTAL 370,760.00.

tCl otal '\1l1()11111 ill \\ ords) Three nundrcd seventy thousand seven hundred sixty peso only

-:iI l' ul ! !ill!l'" 1(' I!

r---- 'f': dn) lIt ,kl.l~ ,11.11tho 111l: rull deliver. \~ilhill the: time pecitied above, a penalty of one-tenth (1/10) of one (I) percent Cor 1l-,: imposed OJ) the undcl i\ ered item/so !

Very truly yours,

RAMONCTTO C. MAGNA YE,MD,FPC ,MHA

Medical Center Chief II f' ' Wi" t,

torrne:

ORS/BURS 0.: ~ -101101- 17J1ll. II- 6il'i)02.

II"~Q.j01

Date of the ORS/BURS:Amount: 370,760.00

( \1<.\1",\ ~LLo.crA.\ .count: A\

page I.' IDOH Government Accounting Manual

~ Bepublic: Of Qae PbiUppiDN ~DIpar~ a,. -..attb. ,~for Heal_ ~~ (am) IV-CAL.,_ ..JtZON


ISO9001= g:R'ImED ..

JOB ORDER

CONTRACTOR /SUPPlIER INDUS MEDICA SUPPLY AND JOB ORDER NO.~N5TAUAJlOllSERVW (ORPORATION 21·11-0342

.,... -"".~ . -

ADDRESS 81k.1, PHit lot 8-A Ma,", Polo Place, r.,.po, Sta. DATERosa CItv, Luuna , November 10 , 2021

nNNO.,MQQeOF

'~P01()'13W85oOQO ~OCUR£MENT

PlACE Of-oaJV£RV IATAHGAS MEDICAl tENT£RDEUVERYTERM .!'Q JOB ORD£R

KUMINTANG 1BABA, BATAN~ QTY ' ~C5P-'tANC£ Of QaLtVi~V

DAlE OF DEUVERY 20 calendar dI.,. uponl'l!C8lpt of JO PAYMENT TERM JOdaysupon,"_'L

PItOPERTY "

PROIEg OESCRIPTlQft mlNimY Y.W! YMIICmI 6MOUlt!NO.

-i- S«P.P(y I Installation of Centralized BuIIt..m Oxygenand Vacuum Pipetine System Jf1cIuding DISS Waif 1 'lot 298~OOO;air' .. ~.oomounted outlet at New CT-Scan

,.r- ,-acon.Qf'W0fQ(8: I i'I,~ r A " G A;; ~f I I)IC,\1. c'!';'rn']1.{i.

1. SUpPLy AND INSTAlLATION OF PARts ANOl ~CI~". tr .AC¥SSORIES I ~.,~ ., 1\

a. Oxygen 0188 wall mounted outlet ENGINEFRI~C~ CiLH,i:S MANACiEMENl

, b. Vacuum OISS WfiJr mounted outlet 2.c. Oxygen and Vacuum Pipeline (Copper) Ir~AMt; 0ijV iY"'~--"''''-d. A*m panel and zone valve box lDATE; J

1-' --.-e. Pi~ support and hangerslbracketf. Oxygen flowmeter9. V'lCuum regulator wI water trap and suction

Batangas ~ecliC.:31 cen~. - bVtUes2. Cleaning of COpper Tubes CONlISSi( 'j\j O~,JAUDIT8. Boring Rrr=~ EIVED. 3.Masonry- Wotb- ll:~a.Boring C-:' ,g..'J',,,,,,,,,,",,, ')b. R&-Plastertng Byc,-ChllBine-1Pr t:t!pellne Routes ! .' 'I~e =-_l. h Il,s< I~rvil... Painting Works 'I II Ill"! 1~:Y'15. Tesling and Commissioning ..a L@ak,~ using ~ gas (150 PSI) forb. Te&1Ingof alarm panel

TOTAL AMOUNT 298,000.00(ToTAl.AMOuNfIN'WOMS)

In (aM of failur. to make the fulfdetivery within the time spedfted above~ a penalty of one-tenth (1/10) of one (1) percent for every devof-delay shaJl.be fm~ on the undeliwred Item/t. ;(VVery truiy yours,

- RAMONCITO C. MAGNAYE,MD,FPCS,MHA

~_O<d"'nd~ ~.""""' __ intheMedical Center chM

1 -s -NOVBenerat and spedal con s of ' CanvassProposalConfonne: ,ED. IL-DANA .

Signature over Print, name of SupplierDate ovember 1712021

.. , -urF,,"d Cluster:

arA I ORSiBfJRS'HQ;;' W' 'd"lfA--MJ-II-;q ,Funds AVailable: !JI.loj1. [XX) ·.ro o.teoftheOflS/8UR5. 1\lnV 1 OJ

CARMI~"

Amount: - . -/

iifii/«n.l I ~A un6SlMe~s~ThIs ,. • computer f1IHIlIIIl*d fotm, NO Stampfnfl nMd8C1.

EfrectIv. Date: ApfiI30, 2021Rev. 00

JOB ORDER

llNNO.

PAYMENT TERM

21-11"()342

November 10 , 2021

-svp-

BA,TANGAS MEDICAL CENTER-KUMINTANG 1BABA. BATAffGASCITY

c. VeritiQalion of pr88lUre oxygen and vacuumitt.._InS~ requiredW8IT8nty: 8 to 12 months from the date ofimaa.latIon

, (TOTALAMOUNT IN WORDS)

-1NDtJS-1JIEDICA SUPPLY ANDINSTALLATION SERVICES CORPORA110N

JOB ORDER NO.

BI~ 1, PHlT IQt HMltGo Polo.P1ace. TIppo, Stt.Rosa Cltv. Luuna DATE

I IIIIC~

MOOEOFPROCUREMENT

Two hundred n/nctty dght thoUSQnd pesos only.

Fund Clu$tel':Funds .v.tlable:

S:an.tu",. ov." pr~.ct t•• n"'~::or SupplIer

Date J:iQyember 17, 2021

~~02Q .__.

Thi#b II COf1JIJl4r (J6fHII8ted fotm. NO Stamping rtfHId&d,

."--"--------- --~----

Very truly yours, f/'..../_IJAMONClTO C. MAGNA-YE,MD;FPC$;MHA


'-f 5- .NOV1021--

Rf!(:elvedorder an:~1d myse!f I ifil to the conditions stipulated Inthelener-lll and speclal net RFQ!etnvass PrQ~I.- -

- COnfonne: R DANA

PJACE OF DELIVERY lQ Joe ORDERDEUVERY TERM ftQ ACCEPTANCE OF DELIVERY

DATE OF DEUVERY

pROHJnY PR~RD£SCBIP'J1ON - _QJtA'mR -mfI - "uRff'CM AMOUNT_~" __ ~"NO_·~.__ ~~~~~~~~ ~ -+ ~ ~ ~~BALANCE FORWARDED 298,000.00

--- -----_._---,r 8atangas M(-,c1ical Center-j COfVIIS3!ON ON AUDITI RECEiVED

~

~~------~--------------------------~------~----~~~~~~~------~~~~TOTAL~MO,UIfT r..put~U6

In caseoffatlure to make the full deliVerYwithin the time specified above. a_penaltyof ~emh'{l/lO}.of-cme=tl)"pemmH6f-Mrv day- -of delay-shiiIH,e imposed on the undelivered Item/s,

ORS/BURS No.: tJ{J """'" ~It-1:tttlDateoftheORS/BURS: --.JI.rn\J 1 '.J 'Jlr.l] c-

Amount;- , .. - - '1)QI(" IillO.GO

Effectille Od: AprtISO. 2021Rev. 00

.. '- " .._.

. -- r-- ~ "r>;

PURCHASE ORDER .BAl'ANGASMEDlCAL CENTER

S..ppll~r: SOUTH EAST STAR ENTERP-RlSES P.o. 4. 21 ..11"()341Addr « AeitUBISt.! MtView SuM! Poblacion 3, Date: November 09: 2021~

Tanauan Ci!Xt Batane~TIN1 Mode ofProcurem~nt: PBJul~2021

Gentlemen:Pleaso fum.ish this Oflice the follgwin_g articles sul1jecUo'tbeterrns ..m4 c~ contrdn~~in:

Place of Delivery: l~tq2! Medieal Cent~ Delivery Term: gO P.O:aNOAeeep~

Date of Delivery: As Need Arises Payment Term: 30 dal! upon cO~E~ete delivery

Stock!UnitCost 1Property Unit . Description Quantity Amount

No.

PIECE GLOVES WORKING I.EXAMINATION 141,300 5.M> 763,020.00GLOVES, MEDIUM (100'S). NON STBRILE~ . -

r>. mOHL Y DURABLELATEXMA~HYPO ALLEROENIC, FINE LATEX~ - ~

DISPOSABLE 100 PCSIBOX IMUL TISAFE ·-.---- ---_ ...---_._. ,

SONBHO I AS:2~I ·'Bate -lgas M(~:::'I_'.;~Cr.'''.! ·'1 I._l.". •• '.

~~ 41/ J 0 'tJ vt~ SSION n~, AUr,i T ' ·. '::COM .:~" \ -~. F •/It'IL·'l1 ~'~E~~~D I" "\. .rc~ ., '. ~

.... _ "!

I...,. !Note: .~'t.il.t.' • osa IOl ,\11,,11:,\\

SAIJA/llit Te m MeHlbt I ·\ ~y :Ple4S0 attaoh.lh~ followiJlg if applie4ble upon delivery --.-- ,iTul ;Q:J.i-·~ I ·. Pflte _

(NO aUlldnncnt NO ~mnce of ®.ih-wY)l,Tinl~ _

---- 'T .2: .-.-- J ~......, ?! .'I, Ocrtmoam· of ProcIucf. ~on frotn FDA -.. ..,.-2. Ccrtifi.tate 0( Good ManufllCtllring ~ ftomFDA ~

3. Batch Release Certificate froJ:n FDA -T.OTAL 763,0'20.00

~ Seven hundred ixty th~ thousand twenty pesos only.>tal Amowrt to Words)In case of fallure tomake the full delivery within the time speoified above. a penalty of one-tenth (111 0) of one (1) percent for

every day of delay shall be imposed on the undelivered item/s. yvVery truly yours,

,() BAMONCJTO C. MAGNA\'E,MD,FPCs,MHA

..... Medical Center Chief n:Onform.e: PRINCES! APRIL P. L()GOJNov. 11,2021 1 o NOV 2021

Signature ov'r printed name of SupplierDate

'und Cluster: . ~ . ORS/BURS No.: ~O~~llf~l7OateoftheOR /'BURS::unds Available; . '-=tJJJ: 9f\tlDAmount; 763,020.00

'il'1?(2r"'r~gom,,,,.... t1-oaUr" .: !1~fIeI"U ; "'Mfr'f tilfj'H\\11 .~ w r'

tJ ,:r:.V r ~ ''1n't.. Jfll ' ~. . ". ~ ~ ~

I( -~f l'~hUv U J LULlDOH Government Accounting M8.aual1i~ ,_

! ,Ij IT:: .,. "r-'""'" .,,,'1"' ~ I'-'.... -.::.....:,I .~.. ',I . ,Jt:l'~15U l! W~------.oj~-""' ....- .

. . -, <,

PURCHASE ORDER . '. ~ ,q,(. . ,:; .:1


SUpplier: PRIME MEDII EN1.ERPRJSEs P.O. No. 21 ..11.0340URlt 'fhe Hub 8, One Olsls. Ortlgas Avenue

Ad~ress: Ext. Brgy. Sta LucIa IPasig City Date: November 08. 2021TIN: MOde or Procurement: 5VP

Gentlemen:Please fumJSh this Offl~ ttTtl1ollowing articles subject to the terms and oondItions contained herein:

Place of Delivery: Batang .. MedIcal Center Delivery Term: NO P.O., NO Acceptance

Date of Oetivel)l: 10 CCll$ndar days upon receipt of P,O. Payment Term: 30 days upon complete delivery


No.

units ECGMACHINE.. e~d: Comen 3 '178.000.00 534,000.00

PLEASE see ATTACHeD TECHNICAl$PECtFICA nONS

• B atanqas M~)(i~~1C::nter

llE ~ lElI'W'l}; 'i'CC j\/IISSION 001 AUDiT

RECE V,ED,

NO~l Il I8y :~ rl il

;.)'h A-d"WI4J.) I J:il ._ '_' 1112; ~/JjJ2f -

e- tBY: -- - ---- ------/b :'-?;y~ I1111 I;:~(?,

TOTAL 5341000.00

(Total Amount in Word$) Five hundred thirty four thousand pe8O$ only.In case of failure to make the fUll delivery within the time specified. above, a penalty of one-tenth (111 0) of one (1) percent for

every day of defey shall be impOsed on the un~elivered ltem/s.

'. ~:

II

Fund Cluster:-- Funds Available:

Very truly yours,

Conforms; rIA""~ffl-S-Ig-na-tu.....' re-'....ov-e-r-pn-·nt-ed-~n-am-e...,;:of~s::-U...PPl..;....-~~-.-I,...,.....·--

Date WCWfr,1Ul 21 '1' 10M

RAMONCITO C. MAGNAYE.MD.FPCS,MHAMedical Center Chief"

Amount:Date Of the ORS/BURS; \I_ __.l~"_ __ --I

534,000.00

ORS/BUF'<S No.:

&ep\Iblic or !be Plblippi.ne$Pot?¥tmcml oOitalib. Ceatet' for Hea!ttI D~~em (CRD) rv -CALAIM,1U'.ON

BA't,AN(;.AS MlIDICAL CENTERaatang;u City

ISO 9001:2015CEltTlFlED

TERMS OF REFERENt((MEDICAL EQUIPMENT)

ITEM FOR PROCUREMENT: ECG Machine (ADULT)o.UANTITY:JAPPROVEDBUDGETFORCONTRACT:P600,OOO.OO

REMARKSSPECIFICATION

PURPOSE OF USE Diagnostic modality used in cardiac patients admitted Helps monitor and

at the COVIDWard diagnose conditions IInd/cQu the Q/l?/col or other PU/1X1f>f: of affecting the heartutlflmtJon of the drJke; If re/e,IIQnt ImiiCOleOfl!(J 01111lell~1 of use,

I TECHNICAL DESCRIPTION ECG functions COMPLY

Indicate the derailed characteristics andSimultaneous lead acquisition

At leas.t 12 leads12 Lead ECG machine

Iipe,ljIc!unctloMI requlrtmeflts ~module$, •components. parameters, IIlIlues, ranges. Standard measurementscomp8tibility). display paromete~ and /Orml1t • Interval, duration, and axis measurements Interval, duration and(display of pressure, volume. flow, status

t fndJeator, dllital. trends, etc.) and user Leads-off advisoryaxis measurement

adju$ltible serrfngs !parameiers. alarm, • Anatomical lead map displays the location and Automatic detectionlanguil8~ tbat.:;sn be qdJusted at the dlscretfonof user) label of loose or disconnected leads! display of electrode

electrodesHeart rate

• Continuous display of patient heart rateContinuous display ofpatient heart rate

Print previewFyi! St;r~l)m!lr~V'~W gf

f • Fuil-screen preview of ECGwaveforms prior to ECG waveforms prior toprinting printing

Display 10.4 inch LCD colorSize At least 8.S inches touch screen jResolution 320 x 240 LCDor higher 800x600 resolution-----.-~-...

PHYSCIAlDESCRIPTION Compact lightweight design with carrying handles ompact, lightweight

USBport for data transmission and external printer INith USB port for dataIndicate dlmmsion, coa/iQurotio,. /Or compte)/. ;:ransmlssion, external ,equipment, mobility, portobi/I/y, weight, connection printer, keyboard, U-disk, thondles. wheels. (<lW 'lWterllJl. bip- mouse etc.compatibIlity, corroskm rfsistDnct: cetc. DimensiDnS I

• At least 350 mm x 305 mm )(89 mm 05mm x 228 mm x 74mml

Weight 4kg (including main unit,• At least lkg recorder and battery)

UTILITY REQUIREMENTS Ele(:1;rh:al

Battery Battery: Lithium IonIndicate needed elecrr/col supply (lio/'lage.!requerrcy, pe(1nitted jlut;tuatfotl, battery • Lithium ion

-_._------

Rtpi,lblic. IIf Cbt Phiti9PInc~Dep;u1meru of M~u\' ConIeI:fot.HNldi De.vciogmeol. (CHI» l.V-CALABARZ{,)N

BATANGAS MEDICAL CEl'It'TE'RfI.~Citr

ISO 9001!.20i5 CERTIF1ED

..~

REMARKSSPECIFICATION

operation) werer o"d gas supply; quality and ! Battery rechargeflow rote requlr,ments I • Four hours per battery to full capacity

Less th2ln 4 hours to 100%

Main powerI • llD-2.40VAC, SO/60HzlO0-240VAC. SO/60Hz

Power consumption60Wmax• 60Wmax

Accessories: --, ACCESSORIES,CONSUMABLES, Battery, patient module, lead wires, alligator clips,I SPAREPARTS,OTHER electrode pack and paper pack

Battery, patient moduie,lead wires, alligator clips,

COMPONENT electriode pack and

I,ndlcbte fie/eel accessories for tull/ properECGrecording paper roll at least 63rnm x 30m (20 paper pack

units per box, at least 1 box) ECGpaper 210mm xfUnctioning 0/devlcf! (quantity, type, number, 140mm-150P (20M)functional requirements etc), sterilization,consumables. spore ports, other components 63 mm size printer 210mm si~e printer(prlntf!r, stands, mounting ete.)

j

~ONMENTAL Operatln, conditions Operating Conditions:

REQUIREMENTS • 106 to 40"C (50·F to 104"f) 5"C~40"C

10%to 90% relative humidityRelative Humidity: s93% I•

Indicate stomge Md operating temperature, Up to 3,OOOm(10,0000) altitude700hPa-1060hPa

reststanc« to humidity nCo •Storage conditions Storage Conditions:

• -20°Cto 50"C (-4"1=to 122·F) -20"C-60·C

• 10% to 90% relative humidityRelative Humidity: 593%

.. Up to 4,550111(lS,OOOft) altiWdeDELIVERV Earliest possible time 10 days upon receipt of

Indicate the when equipment Is needetl .approved PO

TRAINING,INSTALLATION & A. Durin. acceptance: The supplier should conduct COMPLY

UTIUZATION actual testing using calibrated analyzers or testing A. We will conduct actual

devices. Witness by the end users and the technicaltesting.

Indicate pre inslJl/latlon requirements Is any We will SUbmit the ff:(construction, structurolchanges, utility, etc.], inspectors. a.vaud certificates of

a. Vaiid certificates of the fechnfdansiEngineers toT_ ...L_I_S __ .. It'" __ :_A ....... _

safotr Ii. o~rlJtion dlech b4orf! i'landover, end I I ~'("'H"t..:Iidln!o/cn!SIU~Cf') I.U IIISe-rS trQ/nifll1 in qperatiQn, basic conduct servlce/mamtenance

conduct service!

maintenance. user core maintenanceb. Valid certificates of calibration of the b.Valld certificates of

ailalyzer and testing equiprnent callb(atioo of the "n",IY2erand testing equipment

c. Provide Service Report per unit c. Provide Service Report

d. Calibration Certificates or equivalent per unitd. Calibration Certificates

e. Acceptance and preventive maintenance of equiv,lIentSticker e. Acceptance and

f. Preventive Maintenance Calendar preventive I"natntenanee

stickerf. Preventive maintenancecalendar

Iltpubbc of the' P))ilipplnesDepamn~ ofHe-alth, cent« fO! Health Developm«l1 (CHD) IY-CA1.AiMRZON

SA TA'NGAS MEDICAL CENTERB iIt.'IngU Citr

180-9001:2015 CERTIFIED

REMARKSSPECIFICATIONB.Preventive Maintenance COMPLY

I a. Conduct cleaning and testing all parameters 8. Preventive Maintenancea.Conduct cleaning and

including all accessories. testIng all parameters

b. Conduct Qualitative and Quantitative TestIncluding all accessories.b.Condcut Qualitative and

c. Conduct calibration if needed Quantitative Test

d. Provide Service Report. Calibration Certificates or c.Conduct Calibration if

Ineededequivalent d. Provide Service Report,

d. Report Findings, Suggestion and Recommendatton Calibration Certificates orequivalente.Report findings,

C. Prove and attach the list of all consumables and suggestions and

commonly replaced with their respective cost (ProVide recommendation

certificate that the cost is valid for 3 years)c. Prove and attach the Ustof all consumables andcommonly replaced with !

The Bidder should provide and attach current their respective cost (valid Iand valid certificate of Manufacturers compliance '.""''''iWe will provide current an

with ISO 13485 and/or CE Certificate or its equivalent valid ISO 13485/((Certificate

The bidder should provide 2 copies of the following We will provide 2 copies 0

manuals (English Version): manuals (English versrlon)a.Operators ManualI a. Operators Manuals (attached image of front and b. Service Manual

table of contents) c. Quick guide attaached

. b. Service Manuals (attached image of front and tablewith the unit

of contents

--- c. Quick Guide attached with the unit (attached image)I •• ~....._ ......_. I A. Warranty Repiacement: In case of unitWAKKANIY COMPLY

A.Warranty Replacement:malfunction the bidder should replace the unit with a In case of unit

indic(lte worronty period, exclusion. Inclusions brand new unit within three months from the start of malfunction. we willand other conditions of warrtlnty. p,eventfl1e replace the unit with amafntellonu and calibration schedufe. the warranty brand new unit withinIOftwa,e & IIol'dware upgrpde (lvoUabmty, period. three (3) months fromspare ports ollOilablllry pOst l'/tmQllty the start of warranty Iperiod

B. Service and Parts Warranty: at least two (2) years B.Service and Parts

for both service and parts. Warranty: two (2) yearsfor both service and partsC.service Unit:

IC. Service Unit: a.ln case of unit

a. In case of UnIt Malfunction, Bidder must provide a malfunction, we will Iprovide a service unitservice Unit within 48 hours until such time-that theunit has been repaired or replaced.b. Bidder must nave 24/7 rll"!adily availableTechnician to provide technical service and supportwithin 24 hours from report via phone call or email incase of machine

Iwithin 48 hours until such \time the unit Is repairedor replaced.b. We have 24f7 readliVallailable technician whowill provide technicalservice and supportwithin 24 hours

,R~ubllc of tne Pllilippilie!l)epattlllOnt ofJ;iealth, C~ tor "Health. DtMlopmrnt (CHD) IV-CAl..ulARZO"1'

BATANGAS ~mmCAL CENTERBat:IJ'IgU Ci~'

ISO 9001~2015 CERll.FIED

REMARKSSPECIFICATIONbreakdown or as needs arise. o. Warranty CertifiGates;

Comprehensive

D. Warranty Certificates: Comprehensive Warranty Warranty Certificateswill be Included and

Certificates, must be included and define in the defined in the contract

contract

, DOCUMENTATION , Manuals and brochure for use COMPLY

I We will provide manuals

Indkote Mdn®/$, brochures. and certifICations and brochures for use

n~dSAFETY & STANDARD Certification from the manufacturer authenticated by COMPLY

We will submit during post

IndlcaUl illtflmotlonol."tondord & regulatorythe Philippine Consulate from the country of origin of qualification a

approval n«edt1d the unit that the warranty should not be affected with maufacturer's certification

the change of distributor authenticated by thePhilippine Consulate fromcountry of origin that the

In case said Certification is not available In time of warranty should not be

Opening of Bids, Bidder must submit it during Postaffected with a change ofdistributor

IQualification. We will submit the ff:

• Bidder's certificate that the parts shall • Bidder's certificate thatI be avaflabre at the authorized Philippine service parts shaJJ be avaJiabJe atthe authorized PhilippineIcenter/s for a perIod of 5 years after the warranty servtee center /s for a

period. period of 5 years after thewarranty period

I 1 • Certification tram the manufacturer .. The brand has been in

authenticated by the Philippine Consulate from the the local or International.. market for at least five (5)I country of ongm that the brend has been In the local J years.

Ior international market for at least five (S} years. • For demonstration/

confirmation of• For demonstration/confirmation of specification during the

~ ~s~pe_c_l_fi_c_a_ti_o_n_d_u_r_in~g~th_e~e_v~a~lu~a~t~io~n~'~ -Le~v~al~ua~t~Io_n _J

......--..,_

JUlieta~~nIRN'MANNurse '"Designated Supervisor Modular Facility

-----------------


P.O. No.Supplier. ~M~A~C;;.;,.AR';"-FE~ME..-,;.;D~[,.;;.C_AL~S~,_IN_C~._-:--:~ _Address: 61 Antonio Luna Street B.r;g. Bagumbuhay,

Project 4. quezon CUX NCR. Philiepines

21-U-0339

.N:

Date: 08 November, 2021DIRECT

M"~ of'Procnrement: CONTRActrNG .

Gentlemen:Please furnish this Office the following articles sub' ect to the terms and cenditions contained herein;

Place of Delivery Ba.bsas MedieaJ Center Delivery Term: NO P.O., NO Acce tanceDate of Delivery: 10 working days upon receipt of P.O. Payment Tenn. _3;;_;O;..;d;;.;;;.:.;;..;.;.t;.;.;;;..;.;:;.;.;1;,;;;.;.;;.;;.:;.:;;.;.;;,;",'----f

.~

SlOe'l~ro{lerty Unit Descnpnon

N1 fi!S(/ H.IV VIRAL LOAD TEST

Quantity Unit Cost

330 2,800.00

By[I;·ite

'1 II lIE!

Amount

924.000.00cartridge

Brand:CE.PHMV

No""PfsS1i9 ettach ChlI following if IIPpikabIe, upon df!IJVery(!iQ.~MJ.~of~t Certtllcale of i>roIWcf Regrs!/8IiI:II1 ~ FDA

2. ClIf1i1lcate 0/ Good MlNlufltetlJring practice from FDA

3 BlI(ch R61e1l6f1 CerlI'f1'c«9 from FDA

924.000.00(Total Amoun; in Words)

In case of failure to make the full

TOTAL

RAMONCIl'O C. MAGNA Y.E.MD,Ff'CS,MflA

, 2 NOV 202,

ORS/BURS No.: tJCIOll()l!U-fI.mr;"2ate ofth..,ORS/BURS: /1 II 0/.,./

~um: ..... ~92~4=.OOO~~O~O

OOH Govemmehl A''COIII1f1np; M01ttIalf'aRcI fill

/~

PURCHASE ORDER, BAT AN GAS MEDICAL CENTER

1

Supplier: DYNAMED HEALTHCARE INCORPORATED P.O. No. 21 -11-0337

3rd Floor Metrofocus Bldg. 42 Tomas Morato Ave.Address: Brgy. Kristong Hari, Quezon City, Metro Manila Date: November 08, 2021

TIN: Mode of Procurement: PB-August, 2021





No.10 Cardiac Monitor nd 1 Central Monitoring

units System 1 1,348,000.00 1,348,000.00r=. Brand: COMEN

~,' I'~ '--"1Batangas M (ii~a Cen;,'r ,

80MISSIO ~ ON AUDIT ,

PLEASE SEE ATIACHED TECHNICAL REel ~EDSPECIFICATIONS ~

lRos

V .. .I-I..I.L,w . .Y. b7 '. J s: v~ ):'-'i~e . / III.2l1l flAJU

~'. l..3fVl1, ..,

I~:roIlliG ..

TOTAL 1,348,000.00,~I Amount in Words) One million three hundred forty eight thousand pesos only.

.11 case of failure to make the full delivery within the time specified above, a penalty of one-tenth (1/10) of one (1) percent forevery day of delay shall be imposed on the undelivered item/so

Very truly yours, ry/RAMONCITO C. MAGNAYE,MD,FPCS,MHA

~edel!£ ~~fil&Medical Center Chief II

Conforme: 1 G NOV 2021 (Signature over printena of SupplierDate b/.o"em,bo _f- :2~~Q~ (oqM

01I

Fund Cluster: ORS/BURS No.: CX;- (0 1101· ~f -II- l1Jll) fFunds Available: 100ft, rxJf) OD Date of the ORS/BURS: IIjfD\71m . f'P, \n~ Ce Jiil7[riJf?nl111E?r Amount: 1,348,000.00

j ."1. '-~RMIN~ r£AStILl~~PA IIr~Q(L;\.:" ,,~"") Q~ 10M'cPu~'" NOV 0 9 22 I

~\\~ •...., '. l J

~'. i U ~t....". ''--J '-" L....J U U l.-J L,..- DOH Government Accounting Manual,~, -~--",

.... __ .,.1...1: .... _.t -L..- n....n:__ ines ,,______ ....& u ....t...nt:fJuull\.. UI Lilt:' r I II IIJJIJ IIC''' LlCfJOI "meii ..v. (.ea,t.ll

TECHNICALSP.ECIFICATJONSSUPPLY ANDDEUVERYOFVARIOUSMEDICALEQU,JPMENT

IB2021-011A ..SET1

PROCUftlNG ENTITY 8IDOER'SOFFER

Speci IicationasT echo icalOffer

lTEM16:1SETT£N(10)CARDIACMONITORSWfTHONE{1}CENTRAp..MONITOR~NG SYSTEM

PROVED8UDGETFORCONTRACT:2,300tOOO.OO·

SpecificationasTechniclllOffe.rBIDDER'S

(STAT£M.t:N·{ .OF

jcOl\ofPLIAI~(Ii:

~""'a .-nr -,;,L.UlVU'L rCOMPLY

fro facilitate accurate monitoring of patierrts inPediatric Building fourth(4th)floor.

- ,I

COMPLY

'liON

~ROIACMOHITORjolsplay Monitor• Atleast lQ-12inches size

~

CoiorTfT touchscreenwith knob- control for backup function• capableofdisplaying4to6waveformsCG/CardiacMonltoting

IECGwaveform dbplay (at; Lead I, Lead II, Lead least 3 W<1vefOl'fflS111)andwlthcorrespondingbeepsouodoneadlQRSwaveform.• Heartratedlsplav

IithArrhvthm1aAnalySlSJS'8nalvslsanot'aceaetectrol'lLead$electionswitchSensltiVityswitch:25to20mm/MVFilterswitch for intetferencefrom:mainspowerfrequency

lowa ndhighpasssignalI- Co,:"mon ModeRejection (CMR):80 tolUUUD

Trends:240 hoursECG signal measu,rementsignalrange:2MvTO+2Mv

COMPLY• 12.11neh touch screen (PLS.AlTACHED BROCHUREPG. 1 of submitted brochure)

• ColorTFT touchscreenwith knob control tor backupfunction

• Waveforms: Maximum 8 waveforms display (PLS.AITACHEO BROCHURE PG. 1 of submitted brochurei

• l:ead type; 3-lead, S-lead or 12-lead selectable Leadselection: 3-lead (',II, Ill), 1-channelS-lead (1,11,111,_ • ..rs _ ..... _., \1'\. '"\ ........~_ ....... I., .... , 10 1 C A' r1u.t"l a .....,"''''', wIJ" '""'~.,,.'"' .... .-;.. ~ \", -,' I· •• _ ...,

CObtWLY

COMPLY

COMPLY

cz, 0, C4, CS, C6 or RA. lA, U. RL. VI, V2, V3, V4,VS, V6) ; 2-channel (PLS. ATIACHED BROCHURE PG.1of submitted brochure)

• Arrhythmia: 26 calls Waveform speed: 6.2Smm/s.12.Smm/s, 25 mm/s, so mm/s Gain selection: 1.25,2.5,5.0, 10,20, 40mm/mV, Auto. Pacemaker

detection: Yes Protection: Againstelectrosurgical interference anddefibrillation. IPLS. ATTACHED BROCHUREPG. 1 of submitted brochure)

COMPLY

~u::nu laUltJJS.dVii: 16Vhfi rut: disclosuretwaveform: 48h (PLS. ATTACHED BROCHURE PG.11 of submitted brochure)

CO!-..!PLY

IECGsignal measuremltntsignal range:iMvTO+2Mv COMPLY

Page 378

---------------_.----_._.

SpecificationasTedmicaiOfTer 8p«ificatioo8sTechnicalOtTerBIDDER'S

STATEMENT OFCOMPLJANCE

• Frequencyr.n,e:~tleastO.67to150HtotwldelTanee• InplltnnpedanCe:2.!)MOatlomFrE!qu~nc;y response: -sdb at O.OSHt to100Hz

- Automatic internal datastoring for at least 40 ECGrecords or storesdata by hours (approx .. 160 hrs),

rCGleadsconnectorfora,tIe3st3..Jeadp3tientcabfe(Protectionfr"ominterference)• Patlenfcablewlthatleast3teadsanDwifhelearlcalscree1)Sng,

C recorder/printer capable of printing at least 4,1veformS$imultaneously, Arrhythmia Analysis, STCalculation and

Pace Analysisandheartrate,etc.

fNTAAL MONrtORJNG S'(ST.£MThe PatIent Monitor must have a provision for telemetrydatatransmlssiol'lforcentralm.onlterlng• O"tareceptionmustbethrough telemetry

j WlthlicensedOperatingSvstemsoftwareCapable of receiving and displaying data simultaneouslyfrom ateast16patientmonltors

etpableoftrendreviewperpatient.. Capableofalarmhl$toryrevlewI. Capabll!off~zrngdatafor furtherreviewandanalysis,. CapableofgraphicandtabulardatatrendpresentationCPU:at least 2 processors with minimum of 4 cores and 4threads,mlnimumof2.6GHz• RAM:atleMtl6GB• Video Card:atleast4GBvideoAAM• Harddrive/storage:atleast2TB

I. USBpom;UcensedOperatingSystem(OS) 15.220V, 60HzAcc:essories:Keyboard, mouse, external speaker, AutomaticVoltageRegulator,inkjetprinter

~urgerymode! I Hz.....20 liz (-3.0dB-~O.4<lB); Monitoring Mode : 0.5 Hz-40Hz (-3.0dB-+O.4dB); Diagnosis mode:O.05Hz....., )50 Hz (-3.0dB-+O.4dB); 8Tmode : O.OSHz......40Hz(~3.0dB-+O.4dB)itpLS. ATTACHED BROCHURE PG. 10f~ubm;tted brochurej

NIBP storage: 2000 groups Alarm storage:~OO(PLS. AITACHED BROCHURE PG. 1 atsubmitted brochurel '

l;ead type: 3-lead, 5-lead or 12-leadselectable CPLS.A rTACHED BflOCHURE PG.Ito[$ubmitted brochure)

tecording Specifications Recording paperidth: SOmm Pap.er speed: 25/50 mm/s

Number of waveforms: 3 (PLS. ATJACHEDROCHURE PG. 10 submitted brochure

Patient Monitor must have a provisionor telemetry data transmission for central

onltorlng• Dataf~ceptionmustbethrough telemetry

• WithlicensedOperatingSystemsoftware• Capable of rec;eivlng and displaying data

slmultaneouslyfrom atleastl6patientmonltors

• Capableoftrendrevlewperpatient• ca pableofalarmhlstoryrevlew

• Capableaffreezingdataforfurtherrel{lewa ndanalysls

• Capabteofgraphicandtabulardatatrendpresentatlon

• CPU: at least 2 processors withminimum of .. cores anc ..threads,minimumof2.6GHz

• RAM:atleastl6GB• Video card:atleut4GBvideoMM• Harddrive/storage:atleast2TB

USQoor-t.s:• I..lcenseouperatlOg5.ystemiOSj 15.220

V,60Hz• Aa;essories;Keyboard, mouse,

external speaker, AutomaticvoltapR u1atof,fnkjetprinter

Page 379

-----~

COMPLYCOMPLYf'f)MPr.VCOMPLYCOMPLYCOMPLYCOMPLY

COMPLYCOMPLY

COMPLY,.._ .... .."."".""'v~vJ.J"'... ,

COMPLYCOMPLYCOMPLY('()"'~PL Y

COMPLYCOMPLY

COMPLYCOMPLYCOMPLY

COMPLYt.:VMI'L¥COMPLY

COMPLY

COMPLY

COMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMf'LYCOMPLY

COMPLY

BIDDE~SOfFER

Spe.cificadoD8sT eclmJeaJOffer

~RDIACMONrrOR~peclflcatlbns:• Display Monitor: Colo.rlED touchscreenwlttlresolutlonofatieastl920JCl080plxelsandat!east32Inch size• l>atareceptlonmust'*througl'ltelemetry or Its equIvalent• WithlicensedoperatJngsystemsoftware• Capableofreeeiving anddlsplaylngdatasimultaneously• Formatleast16patlentmonltars• Capableoftrendrevlewperpatlent• Capableofalarm historyreV.lew

~

SpecificationasTeehnicalOfferBlllDER'S


COMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYC,oMPl.YLUMt'LY

PHYSICAl. DESCRIPTiON

• caoable of free1ilil. data for further r~~w and analvsls• CapableofgraphicandtabulardatatrendpresentationCPU: at least 2 processors with minimumof4scoresand4 threads, mjnlmumof2Ji GHz• Video card:atfeastAGBvideoRAM

1- Hard drjve/StDraB~:atleast2TB• USBports

~

l.icensedOper~trngSystem220V,OOHz

ccessorles:Keyboard,mouse,externalspeaker,automaticvoltage,reg

\Ulator,laser printer

"":NTRALMONITOftINGSYSTEMJ .spiay Monitor:~oior i.ID touch screen WIth !'e$()iution of at ieast192Oxl080pi)(els andatleast32inchsiz.e

Oisptay Dimension: AboutaOOmm><15Smmx278mmWeight:labout 2.72kg (w.ithout battery)Oisplav: 12.1 Inch touch screenWaveforms: Maximum 8 waveformsdisplay Resolution: 800)(600 (PLS.ATTACHED BROCHURE PG. 1ofwbmitted brochure)

::xternal interface Parameter cablentPrf;t('p, Ar pnwpr inrut c;orkp.t. lISR

!port RJ45 port, Multifunction port,Equipotential jack, Wall--mounted rackIpLS. A "ACHED BROCHURE PG. 1 ofsubmitted brochure}

~ENTRALMONITORINGSVSTEM~~tJiay iviulliiur ~CU;Ut LeU lUU,..l. :'\,i ~ff witt I

esolution of at least 1921J)(1080pixeisandatleast32in<:hslze

COMPLYCOMPLYCOM?LYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLY

UTIU1'Y REQUIREMENTS

,.._•••~ __ I.. iFu¥v~' $u ;y AC '1iPl.il 'yvUage ; lOG-, ""' .. G , ·f ,..

iAutovoltatl0Q-240VAC,60Hzor22OV, .' 240V-, SO/60Hz Suitt-in battery (6OHzwlthanexternalAutomaticVoltageRegulator(AVR)atleastlKVAcapacl standard) : ·2200mAh. at least 2~ With the internal re.chargeable back up battery that can eonsecutive hours. Built-in battery (~l1owtheequipl'1lenttooperateu~to3hours. Ir.. nonat) : 44OOmAh. at least 4Supply and inStallation of cabling system for the. connsctton of lAN of rvP . h IPLS ATT....CHED. . !ConsecutIve ours :.!...:~. '-!.!..:.::"'-=~:o.?!t=rd!::cmcn!l'..o:-:;+.co:::rtr:3!mcn!tc:'!~!:','~m IBR.DCHURE PG. 1of submitted hrmchureJ I

\ i\ I

~'I \J

COMPLYCOMPLYCOMPLY

COMPL\'CVMyLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYr()UDI V..... _ .COMPLY

---.- _. - -~---.---.-~-

\ C.~_ -~ :>~;Ui') II ._-".....-.:.,.·-··-:~r----·--...-...-~-;---

Page 380

PROCURINGENTITV BJDDEIf'SOFFER

Spec:ifi.cadOlJ8ST ecbukaJOffeJ'

~iXessorles1~Two(2} setsofECGelectrodes

~

. tieast S ECGpaper for each cardiac monitors which is cornpatlbietothecardlacmonitor.PulseOxlmeter

a}H!nrJ.!,~~!'P~~~!!~!iberlin;er probend ear sensor for adult, pediatric and infant use. The connection of

probestathemainunitmusthaveloclcingmechanlsmOXViensaturation {SP02};70toW,(;withminimumgraduation of1%

SpedfkationasTeebnicatOlTer

• Two (2) sets of ECGelectrodes

• Atleast 5 ECGpaper for eachcardiac monitors which iscompatible to the cardiacm(lnitor

• Pulse Oximeter

• Hingefinger probe or rubberfinger probe

• Ear sensor for adult, pediatricand infant use. The connectionof the probes to the main unitmust have locking mechanism.

• Oxygen saturation (SP02): 70to 99% with minimumgraduation of 1%

• Two (2) Sets ofECd Electrodes.. Atkast 5 BCG paper for each cardiacmonitors which is~atibte to thecardiac .mollitor... PolseOximetct

• Hingeiinger prooe or ruODer finger pro'And ear sensor for adul~ pediatric infantuse. The oonne(:oon of the probes to thellYlill uniL ml,lSt have lQCking 1ll9911mi$m.

• OxygensaluratiOI\ (SP02): 70 to 99%with minimum graduation of 1% pulserate in beats per minutes (bpm). Pulse'ft'" _~ .........,...'Ill fro '1A,',h""....,. .. ~r:h...........--"0- .......~.....................- .,,'.....,.....,..,..a'loa.~

minimum graduation of Ibpm.• Pulse waveform or indicator that

illustrates the strength of pulse beingdetected.

• Sp02 limit alarm activation settings.• Pulse rate limit alarm activation settings

A fan. onn::n'" IplV~J M;..oh ......~". ""SC'lrnl....... _- --_.-.".' _ ... -..,--,.- .. ---_ ..• Override and temporary silence control

• Accuracy: ±2% (adult/child, innon-motion state) or ±3%(neonate. in non-motion state)..........h .......tt-.e- ~_ ....... .....__, ......... .....-nro.._ cor

•

eeesscnes• Two(2) setsO.fECGelectrodesAtleast 5 ECGpa·per. for each cardiac monitors whi~ is compatible

ItothecsrOtacmorntor I,...~pulseOltjfneter

Hingeflnser probeorrubbetfinger probe Irnd ear sensor for adul.t. pediatric and Infant use. The connection ofFheprobestOthemillnunltmusthavelOddngmechanfsm

b) Oxvgensaturatfon (SP02):70t099%withminimumgraduation ofl%Pulse rate tn bea1$ per minute {bpmj. Pulse rate range at least 30to240bpm,withmillimumgraduationoflbpm.Pulse waveform or indiQtor that illustrates tt1e strength ofpulsebeingdete.cted.

.)Sp02IimitalilrmactivationsettingsPulseratellmltaiarmactivatlon settings

d.) Alarmsoundleveiadlustmentandalarmvemoeanotemporary sllencecon~rol

e,)AccuracyofSp02measurement:±3%

.)Accuracyofpulseratemeasurement:±5bpm

BIDDER'SsrATE(\1£N'T OFCOMPLJANCE

COMPLYCOMPLY

COMPLYCOMPLY

COMPLY

COMPLY

COMPLYCOMPLYCO~.1PLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYl:UMI'L'YCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLY1"''' ....0' "~,'-'I.'. t·. ~

COMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLY

...---~ ......,''''''.'~\.'' ~,.~ ....- ...... ,......,__ ..._' ...........

PROCURING£NTITY BIODEJtfSOFFERBIDDRR'S STATEME."IT

SpecifictttionasTechniCJtJOfTer Spec:ificationasTeebnicalOffer OF COMPLlANCE

B.Temperaturemeasurement "'emp Specifications Measurement COMPLYjiliOi&itili finmnUIJHfWI i.empl:!rCliultlPl UW .ange: U"C"'!)U"(; ACtura-cy: :to.l"Ct COMPLYb)Sody temperatarerneasuredat iNumber of channels: 2

COMPLY

degreesCelsluswlthmeasurementraCOMPLY

ItPLS. A TTACHED BROCHURE PG. 2 of the COMPLYngeof32-43·C isubmitted br-o.churel COMPLYc::)Measurementaccuracy:+j- COMPLYp.i~Cbetween3S·Ct041·C leuff pressure ranee: Adult : 80- 280 ;

COMPLY

r..8PCUfF child, SO-210, Neonat., 60-140 I COMPLY

'!..~.:_~....",!::~_E_~_~~~CHURE PG. 2 of theCOMPLY

a:)~nfla~~.le~~berctlffsurr_oundedb¥dur COMPLYr""a..(Ol V

able and tlexlble cover and J!uom/tTe oracnuret \,..UIVU"LtI

withVelGfostrlps I COMPLY

.)Rubberwbesatleast30cminiel'lgthCOMPLY

<;''f'tolir .. nMi ..~tnlirhtnnn!,r"",;:''n>COMPLYCOMPLY·

measuremenlwithamaxlmumpr COMPLYessurereadingof300mmHg COMPl.Yd)Readlng sccuracy::!:5mmHgor bettere)1.2PEDIACUfF COMPLYf) 1-2ADULTCUFf COMP1.Y

g) Measuresbloodpress.ureatleastevery 10minutesr"UI>I V

,ResplratoryMonrtorIngIThoractdmpedancemeasurementsvla

ECGleads

)8reaths per minute with measurement range ofO-120BPM.~) Re$piratoryw8~fo(mdlsplilYd) Measur.ementaca.tracv:±38PM

COMPI~YCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLY

E_SafetyFea1:Uresa) Protectionagainstdeflbrlllatlol'l and electrosurglcaleqllipmentb) Eq\llpmeJ:\tcompat{blewlthpatientswitllpacema~ersIc) Oegreeofprotectlon asainstelectrlcal$hock:TypeCf

~

Iarms (the equlp~nt must have an alarm settlns switch andQundadiustmentsWitch)

. Atrhythmia

.~'.- ..r'-'J.-FJ"'JU".I""t:U\ ,-..u a r· fin .uu ..,...,.I

achvcilrdiaBradycardia.. ·leCttoiSeanaiors.enSOrdlSCOnnettlOn

IghandLowSp02Highs ndlowpulserate

Sensorfailurepneaalarm

Mountec!ornJSteefcartwith4anti-staticandrust·reeswfvelwheelSwlthtwo!ocklngbrake.sorMountedonanesthesla.machine.rovisionofcaseor'ho!der fortheAVRofcard.iacmonltors

.SafetyFeaturesa] Protectionagainstdefibrillation and

eleetrQSurglealequlpme.ntb) Equlpmentoompatlblewithpatlentswithpace

makers

Ie) Degreeofproteaion

againstelectricalshock.:TypeCFAlarms [the equipment must have an alarm

lsettlng switch and soundadJustmentswitch)

I · Arrhythmia• VentrfcularFibtIJlatlon~ T=~:;t::!'":!1::• Br.ldyc;ard!a• EIeCtrodeand/orsensordlsconnectio• HighandlowSp02• Highandiowpuiserate• Sensorfailull!• Apnea alarm• low battery

ountedonaateelcartwrth4anti-staticandrust-eeswivelwheelswkhtwoloclcingbrakesorMoundonanestheslamachine .

• _,IT

COMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLY('''''.fI)! v\".,VlYU .....".

COMPLYCOMPLYCOMPLY-*"" .'""....,\_·VJV.r.&..l

COMP~yCOMPLYCOMPLYCOMPLYCOMPLYCOMPLY(,"M"I>1 VCOMPLY

PROCUR1NGiNTITY I BIDDEIfSOFFERmbDER'S

SpecificatiOJl8ST ech.nicalOffer Speciticatioa8sTecbnicalOffe ..I:'r"rt '1'r.'.• lffi"'-l""r "'''..., ............ ,I,"-........... ·a. _ ..COMPLIANCE

iENVIRONM£NTAtREOUIREMENTS 'l"'nvironmentalSpecifications

pperatlngtemperature;O.SOCHuillldlty:<9S%Environment temperature: SOC-400( COMPLY~elative humidity: S93% Atmosphericpressure: 700hPa-1060hP (PLS.ATTACHfD BROCHURE PG. 2 of the~ubmittedbrochure}

DEUVERY OEUVERY

Completionperiod: The delivery, installation, testing and commissioning k;ompletionperiod: The delivery, installation, COMPLYE..""''''.'''..,"."''''''_.'.'"cl"""""" .~;";"""' ..... .."'iN> ::Inri rnmml.;c:ionina jf thp "'ntlinm",ntrsand maintenance staff must be completed ASAP upon receipt ~nd .; .""".,ies ... dud;" •• he ";,ni"" .furchaseOrder/NTP• nd-usersand maintenance staff must be

em.i.tedASAP,.,.. ,.",i".{)redeliYery,suppliermu5tC\tJltheMat&rialsManagementSectionfor PurchilseOrder/NTP .

reliVery coordination to avoid non-acceptance or delay Irtacceptalice.P.foMdp.livp.ry:su!l~liermustcalltheMateriaIsMa COMPLY

nagementSectlonfor de livery coordination toavoid non-acceptance or delay lnacceptance.

TRAlNlNG.INSTAlLATION&UTIUlATION trRAJNING INSTAUATION&UTllIZATIQN

r""'" Prior to acceptance, the end-user ''''II conduct , ~esting: Prior to acceptance, the end-user I COMPLYphysicallnspectlon and functionalIty' test, The equipment must be ~hall conduct a physlcalinspection and

unctlonihgandmusthavenophysicaldamageanddefect. ~nctionality test. The equipment must beFunctionlngandmusthavenophysicaldamaae

t""lng'The "' ..... """P"""'" anddefect,

rainingotrtheproperuseandmalntenance of the equipm~nt to the~ralnln8:The suppliershall provide~d.user5 and to the hospltalmalntenancestaff.rainingontheproperuseandmaTntenance of the COMPLY

Ietluipment to the end-users and to theJ!ospitalmaintenancestaff.

WARRANTY WARRANTY;,isrrdnty' ccttirn:otEo fCri tny \~} y~gi~ en ~;"~ Q~'~ en ';~'.':CC;:;. .' ___ ....... _ .... :.&1_+ ... f ...'r ...... ~ , ...\ '."'~r' ....." n.~r+,,".,.altO,.", ~ ... IHto".g...... ,_f ..........\-, y-_ ...._,. 1""-' ....." COMPLYThesuppllers shall either repair or replace any irem or part in the and on services. Tl'tesuppli&IS shall either COMPLYequlpmel'ltthat ~ found to be·defectlVe Inmaterial or in epair or replace any item or part In the COMPLY

.workmanshipundernormal equipmentthat is found to be defective in COMPLY. U5.e.The warrlll'lty perfod shan commence from the date of material or in.WQrkmansh,pundernormai COMPLY

acceptanceby·theend-user aftertestlngandcommissionh1g. use. The warranty period~hall commenceCOMPLYCOMPLY

....,oiranty: :-zm the d::te ~f ~c~p~~,=eby th~!!d,,'..!S~r COivi?LYNotarized undertaking that the supplier shall conduct the aftertestingandcommissioniog. COMPLYnecessarycorrective maintenance within five (5) calendar days upon Warranty: COMPLYno~l1fcatlQn ofequlpmem breiSkl'l.ownfrom the cnd- ....;fer.n- [No-tarlted unclert.ki"8' tha't the supplier shan COMPLY

onduct the """",,:»af)'c;orre~e maintenance COMt'I"Y!undertaklns $"'allln~l",d.th .._t..ment

~htn five IS) calendar days upon notification COMPLYhatthenumberofdayswheretheequrpmentisunusable due to a defective COMPLY

......... +- ...... ,.,.., ""r ...._ ..&t-~ ..,!"C'h!_ rh'2l!' h.o o.ddeA t~t.~e.\~':a..~~t'tr.\e~!~. !ofequipment breakdown from the end-user . r,,\1'...f LV

Se undertaking shall indudethestatement I COM;LYatthenumberofdaY$wt!eretheequlpmentisun COMPLY

sable due to a defective material or COMPL V

~

rkmanshlP shall be added j-JCOMPLYtR~rrantyperiod. COMPLYPage ·tt., --_. _._..- ......-- t

\

r.« ~ ..~.;~IJPY I

. . ~.......'~,I.;;.1 \ r- .....,""~':4I"it'~........._--- ....-----tr- ....--".,....,.-,...,..

PROCURING£NTlTY a.aDER'SOFfER

DOCUMENTAT10NProduct brochure or technical data sheet(s) of the equipment~howlngthetechnlc:alspedficatfonsII\Engtlshlanguage.[valid Certlfate of Olstributorshlp(asflrst Tll!!rDistributor) issued byltheManufacturerof each equipment authorizing the bidder

~

selVdistributeeoffered equipment.staFldaddress oftheequipment

IManutacturer'$lnnch offICe, safes off«:e and!ordistributor's officeInWestern Europe,

~. USA(orCanada)orJapan.NotarlzedCertrrccateoftheBldder:i!hatthebrandoftheequipmenthas beeninitheloca land/orlnternationalmarketfuratleastten(10) years.

COMPLYCOMPLYCOMPLYCOMPLYCUMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYC0~.>!PLYCOMPLYCOMPLYCOMPLYCOMPLY

DOCUMENTATION

that the equipment and Its accessories are brand new, unused,

~::~~~:~~e!~~~;:'~~:~re:~:;~:::~;:~!~

&vieedistl'iblJtor Issued by the Phillpplne food and Drugdministration.lncaseofexpiredllO, thefollowing

~u~th"~uhml...,.~·;\,..",.....~rnvn;r4.41 Tn '"

,r--,. ~'~;II;;i;~o~';;~~::;I;~p;~:~i;asroof of payment for renewal of lTD. Manuals: The supplier

mustprovid~theelld-u$er:lone (1) hard and one (;1.) soft cOP't of thefolloWingSel'llicemanuillinEnglishlanguagepperatlonsmanualinEngllshlan,guage

InI'V'1 RJlENTA nONProduct brochure or technical data~heet(s) of the equipment~howln8thetechnicalspeclflcationslnEnglisNanguage.

tillid Certificate of Disttibutorshlp(as firstier Distributor} issued byheManufacturerof each ~uipment

~

horizingthe bfdde( toseilldistrfbuteheoffered eqUipment.istandaddress oftheequlprnent

[ManufaGturer'sbranch office, sales officelandlor distributor's offICe inWesterfl~urope,~SA(orCanada)orJapan.NotarizedCertificateoftheSidder:hatUlebrandoftheequipmenthas bee nin1.~'__ I""""'J"""""+A< ~J_"",I_", .......""t4""""""".t",, +1...... "".. .......... .,., _, '11",,*", "' ....... , ...." ...... , ~ .. ~...... W".l""' ", ..

en(lO) years.

DOCUMENTATION

f~~~.tIeequipment and its accessories arec:new, unused, notdlsamtinued

~~!~~;-:Z:I=:t::.:",

kense to Operate (LTO) as a medicalevi....Alstli""tol" s·u"d "" the Philip"i""~;d.~~~ w ~ ~,... .... .. ... ~

ill istratlon.lncaseofe)(pire«iLTO,ollowlng

!ml.lstbw.lbmltted:i)CopyofexpiredLTO,ii)!Application for renewal,iiI)OfflcialRecelptas[proof of payment for renewal of lTD.!Manllals: The stlpplier!mustprovldetheend-user:pne (1) hard and one

[

1) soft copy of theollowingServicetnanuHnEnglishtanguageperatlonsmanuallnE

COMPLYCOMPI.YCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOM'PLYCOMPLYCOMPLYCOMPLY".. ........ .,..." .. r'-VlVU"~ 1

COMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLY

Page 384

alld and current Certfficate of COmpliance of manufacturer ofheequlp~ntwitbtM.Immve~'Oflof1S0134$S:QualityManatementSstem - Requirements for regu~atorypurposes In the name ofhemanufacturer. The Certificates must be issued by and

independentCertifyingBody/Agency.alld Marketing Authoritatlon, Registration Approval or Free

SsleCertlflcatefQreachequipmentlssuedbyheHea IthAuthorltyinthecountryoforlgin.

D

ompllanee of manufacturer ofeequlpmentwiththelatestversionofiSO

:QualltyManagementSystem -equlremeots for regulato,), purposes jnhe name ofthemanufacturer. The

rtlfkates must be Issued by and·ndependentCert!fvln-'!Bodv/Agency.

alid Marketing Authori2ation, Registrationpproval or FreeleCertlficateforeachequipmentissuedby

neHeaitnAutoorityinthecountryoforigin.

COMPLYCOMP1.YCOMPLYCOMPLYCOMPLYCOMPLYCUMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLY

"Page 385

(S~.}fUlABETHV.PAUNES,MD,FPNA,fPPS.FCHSP

BACChairman

COM0N

Star8000FMulti-parameters. Monitor

Genera! Speclfication

CanlisuriltionStlltlCllllli: aJ5'lOIad fell. RfSll Sp02, PlI. NI8POptiona~ lap, r.",pl. COl. Ma1itnO $pOl. N.IIcorSpo2~.r upplv,.._ ''"'~B.; lOO·l.wv-, SO/SOW>Buill-'" bwttery (standard); 1200mAh, at leastl con_utI¥e """"-BuIIt4n battery (Optio",",) . oWlQmAh, at ,•• '" 4 to"'KUtI"" ilolJt$.

Dt'J;I\~~t)t"",,,SI<lft:IM!I~:CIl;plav:WavefonM:R~utloo'"

About 300mmIll5SmmKl78mmIb<;IlIt Vlq (WithOo.lt bot1e<yl12.1 Inch toUchSCf.....MlIldmum 8 "", ... Io,rns ~l\OOl<6OO

Environm('fltal Spcc,f!C&I101l~tnWooII'tclt tempe,.ture: SC --40 t:RelatlYe humldlty. ~93"A:r~'ledi: ~ra: 7OGI!Pll-'~()I;1'iI

'0(,)1(21 .. r

Dual ali,", indlat .... llah1s. Powerlrnill:ator ham.8i1itloty indIcalodlalll,CRS "",,p and~larm sound,0"""""'licey._d

tlltemai ;·~t"rfatl!Plil'llm.lltt gble lnwrfaC<l, ~ power ltflJl/l sodO!t, usa port~S port, Multlful\C11on port, £quipolar\li.llilCk,Wall~ r.,k

t.. .(vte-w arl'O ~,O(ase,,,,,,6 tabl~ltrapt,; lliOlll1Full d;s<1_re _orm:-4811.......... -011 ProIec11on

COMeN

Nlap ~ lDOOlII'NJ>SAI>mI -a.: lOO

Eel; S~ifi<~tv ...".i.Ul {,;:e. :";';.<1 S-lC;n:lil( ;l4·1UC "Il~Lead ~1odfotI:3-lud (I, II. lIll. 1.-CNonn~5-1e~d (I, ii, ill, .vII, .111.. avF.II).l--a.iIl'IIlCl12--1•• 11tR, I. r. N, C1,0, cs, C4, <:5, C6 or MAoLA, u, R4 v l., W,V3,V•• '6, WI, l-clra_

HIt measurement 1iI~:Mult: 15"JODtpmlIl_te/chiflj: 15·35Qbpm.oa:uracv: ~.I"01 tlbpm. whlclr...,. ~_ t.

51 __ .....,eM ranp: 2.Om\l-t2.0mV (-20.0 mm 20'OmmlArrIM~"'~: U; call,W3IIeloml ~d: 6~m/s.1l..smmh.15 mm/., 50 mrn/$GaIn .. lecllOI1: I.2S. 25. 5.0,10,.20. 4Omm/mV.Allto.P_lcer dl!t~,tIon:V.."'_c:!IQII: Af;IINt .t_utWfc>llntem",_ ~ ddlbrlilatfo!>-6andwidtil:

S&f'lF"Y mocic; 1 ",--;to"'1 r-3.(td&- +O.A<t6) ,Mon;\or""IIWil.. o.s Hl-- oil) Il. (-3.Od8 --.;oAdB};1lia(ltOSls '!lOde: lJ.05W:.-15O 1111-3.Od8-..o.4<lB);

51 mOde: Q,OSHt-4(JH:d-l.!JdB- +O.~8JECG;~~Jog outpUt

COmmQllmllde ~1e<:UQII; <1mV (p-v Rffl

I\IPI\-illll~Jlve WOO" P,,,,,c''''{N18P)

Mlllhod: "'1114 O4CllbllO<l metho<i!>am_1m: SVSIDI"IM~"'ulu: 1101.Opel'3dt>l modlI: Manulf(AuIo/STATAUI4maJuro _NIls: 1/2/'l.s13I!1.(S)lf1/tSfl,0I60J9O/1Wl80/2-tO!-4IlO/12Om1nUNto;

CuI! 11'.......... =11':mmliaJl<l"

1IduI.: 80 - 2110;ChIld: 8O-210~

Page 390

CERTIFI E COpy

- _ .... --

~ .----

,..' !'f.:f I.~-~

",".~_"'It'-...-

~--------------------------,~,.- -----------------------------~,--------------------------lPURCHASE ORDER ..I

BATANGAS MEDICAL CENTER -·1P.O. No. 21-11-0335----------------

Date: 4-Nov-21----------------Supplier: VG & GE TRADING DIAGNOSTIC INC.

Address: No. 299 Pulo St. Bolbok

Batangas City

TIN: 007 -978-059-000PUBLIC BIDDING

Mode of Procurement: JULY 2021


Place of Delivery: Batangas Medical Center Delivery Term: NO P.O., NO Acceptance !Date of Delivery: AS NEED ARISES Payment Term: 30 days upon complete delivery I~--~~--~==============~------~----~======~=========-lS~c~ I

Property Unit Description Quantity Unit Cost Amount INo. ir------r----~----------------------------_r----~--------~r_------------t

Thefollowing items (a-d) are considered as one lot./.CHEMILUMIN£SC£NC£ fMMUNOASSA Y method with fullyautomated analyser.2. To include all accessories such as controls. calibrators.Ag-abdiluents. buffer, cleaning solution and other supplies needed3. Machine with computer set and printer. UPS and A VR must beprovided and installed, procedural demonstration be done.4. Technician from the supplier is always ready to come in cases 0/machine breakdown.5. Backup machine is always ready for any interruptions.6. 100% sensitivity for all reagent kits based on SACCL evaluation,99% or higher specificity of all reagent test kits based on SACCLevaluation. expiration must be less than 10 months.7. Reagent expiration must not be less than 10 months.8. NVBSP/SACCL accredited HIV, HCV, and HBsAg.9. To include regular preventive maintenance and machinecalibrations.10. Must also include certificate of product registration and materialsafety data sheet.I I. Abscence a/any item in the lot shall be considered nonresponsive.


'!I

m. 4tmA1-f '1.!I

By1);';l;J

"1111(:

In case offailure to make the full delivery within the time specified above, a penalty of one-tenth (1/10) of one (I) percent forevery day of delay shall be imposed on the undelivered itern/s.

Very truly yours, Y'VRAMONCITO C. MAGNA YE,MD,FPCS,MHA

Medical Center ChiefI!

01

1 0 NOV 2021


Amount:


page I 0/5


.r--. PURCHASE ORDER ~ IJA TANGAS MEDICAL CENTER

.~

Supplier: VG & GE TRADfNG DIAGNOSTIC INC. P.O. No. 21-11-0335 lAddress: No. 299 Pulo St. Bolbok Date: 4-Nov-21 IBatangas City PUBLIC BIDDINGTIN: 007-978-059-000 Mode of Procurement: JULY 2021



Stock!Property Unit Description Quantity Unit Cost Amount " ~~

No.t

test a. HBsAg Test 5,000 129.85 649,250.00 Ilest b. HCV Ag-Ab Test 5,000 170.66 853,300.0Q·

test c. HIV Ag-Ab Test 5,000 140.98 704,900.00

r> test d. Syphilis Test 5,000 103.88 519,400.00

kit HBsAg one step (R7), NVBSP/SACCI.., 360 1,140.00 410,400.00 Iapproved 30's/kit I,

test POCT TESTING FOR ER Chern 8 (No, K, 500 1,100.00 550,000.00 IC/, iCa, BUN, CREA, Hgb, Hct, T(02) 25 , Itests/box ABBOTT, USA ~.i

box Pregnancy Test -- ~1-fO 450.00 67,500.0~INTEC CHfNA O's/~e1angas Medical Cente

. ' . COMISSION ON AUC ITbox Stool occult (25 t itS/boxk~'t~fvED\ 1(J 2,500.00 25,000.00

~ 11, ( c.s.",_/ SUBTOTAL 3,779,750.00

U II Iltl ~021 ~, . otal Amount in Words) 1I;'I:~ 1In case offailure to make the full delivery .Llf.'.1~ he-ti . ..,. ;.irA

.-jalty of one-tenth (1/ 10) of one (I) percent for I .

WIt 1111 t eiTI II; ::'.l'~"I;U <1UUVI;, <1 per: }every day of delay shall be imposed on the undelivered item/so ,

~

Very truly yours, r,/RAMONCITO C. MAGNA YE,MD,FPCS,MHA

Medical Center Chief IlConforme: {;{t/IV' ~frnt.A -

Signature over printed rme bf Supplier 110 NOV 2UtlDate II Iz...Jl.-1

Fund Cluster: 'n,l DR.S/BUR.S No.: ,Funds Avai lable: Date of the ORS/BURS: •«r: ~

Amount: d~CARMI(c~LO,CPA \ICCOUI1 V II/'-IJ w'U page 2 0[5

DOH Government Accounting Manualj

. !I

~. PURCHASE ORDER ~ ...dATANGAS MEDICAL CENTER .' ,

Supplier: VG & GE TRADING DIAGNOSTIC INC. P.O. No. 21-11-0335 ~)

Address: No. 299 Pulo St. Bolbok Date: 4-Nov-21 " ":-1· i

Batangas City I ~PUBLIC BIDDING ~

TIN: 007-978-059-000 Mode of Procurement: JULY 2021 · IGentlemen:



Stock!Property Unit Description Quantity Unit Cost Amount !No. ~

BALANCE FORWARDED 3,779, 750.0(},l ~- ,I/:-0,. thefoltowing Hepatitis Profile Blest (a-f):

I. One (/) 101that includes all accessories/or !-"lJLL YAUTOMATED CHEMiLUMINESCENCEIMMUN04SSA)' such as brand neH'set of controls,calibrators, cleaning solutions, diluents and other

r>. supplies needed in the test.2. Machine with computer set and printer, UPS and AVRmust be provided and installed. proceduraldemonstration be done.3. Can run at least 25 samples per testing ~-I. Company engineer or technician is always ready in ~

·.case of machine breakdown. I Batangas ~e~7;a'cen~

,i

5. Backup machine is always ready/or any interruptions. ·l I

COI\;ilSSIC · '.

6 Reagent shelflife must not he less than 6 months N Oi',} AUDIT _ "

7. Analyzer must be capable a/on board dilution Rt;C EI'!.:3 ' I8. To include regular preventive maintenance andmachine calibrations. 8V : (~~9, Must include certificate ofwarranty and material I . ;~~ .Q IJI ~\JcJA)~Jsa/ely data sheet. -

lillie,

'_4:22I(). Any abscence (?j"uI1Y items in the /01 shall be -considered non responsive.

"........... , II. Provision of letter of acceptancefrom other

Iinstitution locally (private or government)I

SUB TOTAL 3,779,750.0(".-

(Total Amount in Words) -In case of failure to make the full delivery within the time specified above, a penalty of one-tenth (I II 0) of one (I) percent for "

every day of delay shall be imposed on the undelivered item/s.

Medical Center Chief 11-1 n NOV 202\


ORS/BURS No,:Date of the ORS/BURS:

Amount:

i .Fund Cluster:Funds Available: .' '

" 1

page 3 of5 JDOH Government Accounting Manual i

r> PURCHASE ORDER ~

£.$ATANGAS MEDICAL CENTER IVG & GE TRADING DIAGNOSTIC INC. P.O. No. 21-11-0335

.~-:lSupplier: "';'

Address: No. 299 Pulo St. Bolbok Date: 4-Nov-21

Batangas City PUBLIC BIDDINGTIN: 007-978-059-000 Mode of Procurement: JULY2021


Place of Delivery: Batangas Medical Center Delivery Term: NO P.O., NO AcceptanceDate of Delivery: AS NEED ARIS.ES Payment Term: 30 days upon complete delivery . ij

Stock! ..IProperty Unit Description Quantity Unit Cost Amount . ,No.

BALANCE FORWARDED 3,779,750.00 ,

BRAND: ABBOTT GERMANY I IRELAND -

kif a. Anti - HBc JgM Test, 96's 2 15,015.00 30,030.00

kit b. Anti HBc JgG Test, 96's 2 14,784.00 29,568.00'~

30,576.06 Ikit c. Anti-Hbe, Test 96's 2 15,288.00 -1, ,J,

kit d. Anti-HBs Test, 96's 4 14, 1J2.00 56,448. oed! ~

kit e. HBeAg Test, 96's 2 15,015.00 30,030.00

kit V HBsAg Test, 96's Batangas Meclical CE Iller 2\

12,985.00 25,970.00

kit g. Ferritin, 96's / kit COfV1!SSION ON A 0D~1) 12,320.00 123,200.00

RECEiVEr )_CJt/, ~ IBy : 'r:-- rm -'n. :1. t'l .. -- 11:u SUB TOTAL 4,105,572.0Q ~'i '1(·

''--'''\)tai Amount in Words ~....,_J \.. I j---------------------------------------'.,-,~In case of failure to make the full delivery within the time specified above, a penalty of one-tenth (Ill 0) of one (I) percent for ~ y

! 'every day of delay shall be imposed on the undelivered item/so

1 0 NOV 2021

Very truly yours, yvRAMONCITO C. MAGNA YE,MD,FPCS,MHA


~(P. <o.v page 4 of 5 JDOH Government Accounting Manual" ~



Amount: ------- ':.1

..--... PURCHASE ORDER ~JAT ANGAS MEDICAL CENTER

Supplier: VG & GE TRADING DIAGNOSTIC INC. P.O. No. 21-11-0335

Address: No. 299 Pulo St. Bolbok Date: 4-Nov-21 !~Batangas City

I

PUBLIC BIDDING ~i

TIN: 007-978-059-000 Mode of Procurement: JULY 2021,

! I..,;.,


r


Date of Del ivery: AS NEED ARISES Payment Term: 30 days upon complete delivery


No.

BALANCE FORWARDED 4,105;572.00 1kit HBsAg one step (RT), NI/BSP/SACCL J2 1,140.00 13,680.00 j

'; '1

approved INTEC, CHlNA 40's/box o.

(c/o OHAT) Ikif HIV Rapid test, INTEC, CHINA 40's/box 12 5,000.00 60,000.00 :r>. (c/o OH47)

kit 1 10,388.00 10,388.00SYPI-IlLIS TEST that include allaccessories/or FULLY A UTOA1ATEDh\!JMUNOASSA Y (CMIA) such as controls. - . -- :::.:~Icep;~calibrators. cleantng solutions and other supplies needed ill tile test.

Batangas M. ~Machine nuts: be provided and installed. procedural demonstration bedone. Can run at least 25 samples per testing. Company engineer or COrVI13SIOP. (y.) /',UUIT ' 1technician is always ready in case of machine breakdown. Backup

REC.t~ ;1

machine is always ready/or any interruptions. To include regular niED ~~preventive 1I1(/lIlfeJ1(1I7Ceand machine calibrations. A11.1S1include :0certificate ofworrantv and material safety data sheet. (c/o OHA 7) By l,..........

;

Il;·;te U )1 ~l!1~.21--( NO attachment NO acceptance of delivery) 'i I" 1(0 ~:J2 -f. Certificate of Product Registration from FDA ----- -----.-

'-~--.--= .. --~-.-.2. Certificate of Good Manufacturing practice from FDA -

~ 3. Batch Release Certificate from FDA ..f-

GRAND TOTAL 4,189,640.00

(Total Amount in Words)Four million one hundred eighty nine thousand six hundred forty pesos'only. \ ,

In case of failure to make the full delivery within the time specified above, a penalty of one-tenth (1/10) of one (1) percent for,

every day of delay shall be imposed on the undelivered item/so r: IVery truly yours,

Chdl-v. ~""" '"

RAMONCITO C. MAGNA YE,MD,FPCS,MHAMedical Center Chief II

Co"forn,e: 1 o NOV 2021Signature over printed t:of s~r~lier I

Date tI Ih. ) J ._JFund Cluster: 01 I ,

ORS/BURS No.:Funds Available: ~ gcro· QV Date of the ORS/BURS: ;

'cJ2) Amount: 4,189,640.00 "

CARMIN~~O,CPA ,f!7f{JJ ~, j

count page 5 0/5 JDOH Government Accounting Manual

./ - ............._

I - . PURCHASE ORDERBA TANGAS MEDICAL CENTER

Supplier: SYNERGY AND COLLABORATION DISTRIBUTION INC. P.O. No. 21-1 1-0334

Address: Unit 7 Blk. I Lot 50 & 51 Jubilation New Birian Strip, Date: November 04,2021

Barangay Zapote, Bifian. Laguna

TIN: 010-148-903-000 Mode of Procurement: NP-EC

Gentlemen:_.


Place of Del ivery: Batangas Medical Center Delivery Term: NO P.O., NO Acceptance10 calendar clays upon recei pt of


Stock/J roperty Unit Description Quantity Unit Cost Amount

No.

AMPULEDEXAMETHASONE 4MG/ML, 2ML 10,000 30.00 300.000.00-Brand: DexGet - ..

,- I~l:C@~~ _ ]Batangas Me lie-al Ceni.(,r

CC rvllS3101\1 O~'l AL orrN' .~ 1 v ZO~I g RECE vcof.A I>-/~km .~ f~;.) I'(, - ---_.- ..-~ Ely•• l'r~ ~1Jlr;iT--- i~!.',t •

Note: IIIIlp- 'f J4-j

Please attach the following if applicable upon delivery(NO attaclt ment NO acceptance of delivery)I. Certificate of Pr duct Registration from FDA2. Certificate of Good Manufacturing practice from FDA

3. Batch Release Cert ificate from FDA

TOTAL 300,000.00

/(Total Amount in Words) Three hundred thousand pesos only

In case of fai lure to make the full del ivery with in the ti me speci lied above. a penalty of one-tenth ( III 0) of one (I) percent forevery day of delay shall be imposed on the undelivered item/so

Very truly yours, />«:

JohnMiCh:'idid 11/09/2021

Ii

RAMONCITO c. MAGNAYE,MD,FPCS,MHAMedical Center Chief II

Conlorrne: 2021Signature ov r printed name '1 f Suppl ier 0 ~ NI""l\!

Date

hillel Cluster: , ORS/BURS No.: oar {';2110' :l.(tLt - II 01'00 I'"I:unds Available: U~ '.d. I· r"j Date of the ORSfBURS: 1I1~1").j

\Amount: 300,000.00

\..~-J.""".C(~CARMTNA C. CAS1'1L4.0,CPA

Accountant IV illY, lj ~~- DOH Government Accounting Manual

I \ \ \


Supplier: ONE AGNO MEDICAL SOLUTIONS P.O. No. 21-11-0333

Address: 3rd FIr. Glow Dorm Bldg. Tierra Valiente Sub. Date: November 04,2021

Calamba City, LagunaPUBLIC BIDDING

TIN: 156-720-914-000 Mode of Procurement: JULy 2021





No.

kit Serologic Testfor Dengue NSI, TgO, TgM- 2 7,000.00 14,000.0025's/kitFULLY AUTOMATED DRY CHEMISTRY -

rr>. ANALYZERtest aa. Phenobarbital Assay, 140 590.00 82,600.00

OCD, Vitros USA,test abo Carbamazepine Assay, 90T/kit 90 580.00 52,200.00

_._------ _ .... _ .._---~-Ce!"'.i~or .5~,200.00test ac. Phenytoin Assay, 90T/kit 190 Be anqas jfiro.6oi

'1 COl .I1iS310N OhJ I\UUII I( NO attachment NO acceptance of delivery)

R~~to I -

\( ~~ (l , ,1. Certificate of Product Registration from FDA : kl/A UI' T .1. .~I

-8y Ib

2. Certificate of Good Manufacturing practice from FDA -- -'1TT1illl 2) -: I. i~e

3. Batch Release Certificate from FDA '. ,]:71 -I 1IIICc - --

TOTAL ..~-....201,000.00

r: rtal Amount in Words) Two hundred one thousand pesos only.~

In case offailure to make the full delivery within the time specified above, a penalty of one-tenth (1110) of one (1) percent for every

day of delay shall be imposed on the undelivered item/so

~~.cv~.~:~,

Very truly yours, -vRAMONCITO C. MAGNA YE,MD,FPCS,MHA

Medical Center Chiefll '09 NOV 2021Conforme:

Signature over ptfnted name of SupplierDate '\.>~. \'V, ..1.~.2..'

Fund Cluster: 01 ORSIBURS No.: a?-lQ$}~;~aw1Funds Available: ~ ,O--o·bV Date of the ORSIBURS:

"(jJ Amount: 201,000.00

(71ft'JiJ"JJCARMINA;~~LO,CPAAc untant

~ ~\g&J..!,W~11 DOH Government Accounting Manual

W~ r~L!'{ • 20tl J;1.. _


Supplier: EIlFOLGREtCH TRADING , P.O. No. 21 .11-0$32Saint Therese St., fati.e.UtI San Juan,

Address: Satangas,. Date: Novembet 03, 2021TIN: 437434.:1J81-000 Mode of Procurement~SVP

., .:. ,.'

Gentlemen: '..

Pl&a$e furnish this Office the following articles subject to the terms and condition$ contained herein: ,

Plac& of Detivety: BatangaS Medteat Center Delivery Term: NO P.O., NO Acceptance

Date of Delivecy-: 10 calendar days upon recele!; of P.O. Payment Term: 30 daXS 1JE2" come'ete detiVery

StoCk!Property Unit Oescription Quantity UnitCost Amount

No.r- TranseptIC Cleansing Solution for Ultrasound

bottles TransducerlProbes

I24 1.180.00 28)320.00

\

.."---~-.-.-.-~----."

tz<-""",vl ~{- J"44r=

19as M8'-:' ' ,I l~'~ I •\ ;'f \'1 Bata ·:.A1 -'.,

·li'.l ,~UUiT i.\ COiVl SSICi\\ \

~D \u\LMtS

\ fl~"\L-.i• ,I :...,"" \It.-' 1.-. 11 ~!1.:.' 1 '

SAil i\ p." : _-' .-__ I lfh~~·- .G:' -----:~~ 4tD=~J__ ._

..

TOTAL 28,3.20.00

(Total Amount In Words) rw~tY.eigbt thOuSand three .bun(t('eQ twenty pe~, only.

In case of failure to make the full delivery within 1M time specliied above, a penalty of one--tenth (1/10) of one (1) pei'cent forevery day of delay shaH be lmposed on the undell~red item/so

., Very truly yours,"J ..,- -.

!I ....... - ..- ..~-..--' _ ... _ --- ...... - ............ ~ ......I .. MMONctTO C. IV'.AeNA Yt:,M!J,,.~~,M"'"

i I Medical Center Chief IIf ,

Conforms: "ttMi ~ ~, ~f\A.' (\ 0 5 NOV 292.,Slgf!$tur; over pnnted name of Supplier

'. Da, htu . ~a,~1J A

Fund Cluster. b?9!;;;;. onORSJBURS No.: o~~\oaOl·~.ll- ~

Funds Available: : Date oflheORStBURS: riI4h.tAmount: :28,320.00<»: aCtCARM1N~

;

untant IV '1'/«.0 ~ ~- -_., ..

.~---.-----

PURCHASE ORDERBATANGAS ,MEDICAL CENTER

Supplier: l-SENZ MEDtCAL. INC.Address: Unit Ii15F 8 Adriatico Tower' Padre Fau_fae<>r_

J, 86cQt» St., BrrfiitaMantJ~ MeltO Mantia ..TIN:

P.o. No.Date:

21-1 t-033003 Novembef. 2021

Mode or Procurement: PB AUO 2021-----...;.....;.._----t

Gentlemen:Please t'\rr'f1,~hthis Otflce 'h~ j'onQWII~S ~iclC8 Ifublecl Iu the lei'" ..... ~..,"'O'14it:9~. 4()"t4:,j"o~LhJltr.;n·

Placeof~i\-'Cty: ~tang.s ~ed'r.al Center . .... Oeiivery Term: NO P.O.•.NO A~anceDate of Delivery: -()Q ,~~!endardays upon ~pt of ,..0, Payment Term: 30 d~~ u~n ~mptete ~et.jvery .

Stod,l I

Propcny Unit DescriptionNo.

1,197,000.001 unit PLASMA STERILIZER

Brand:S1'HRL1NK

(SEE A1TACHED TECHNICAL SPECIFIAT10NS)

Note:

Piea,. attltCh the followfng ;{ IIppicab19, upon deIIveIy( tm. .ttechmenf !J!2 acceptance of dflllVety)

1. Certificate of Product RogIstration from FDA

2. Certificale of Good Mllflufacturlng practice from FDA

3. 8Mch ReIe,,_ CertfficlJlt" from FDA

Quantify Unit Cost Amount

I i,I97,000.00

~I------'---.-..---- ...Batangas M~; ·r-, •.::i C·?''.'·::,r I

~ 0 MIS S I(j"I r_J ,\j ,6 L 01T \.

REesE:. vc:Iy : s.t::~ ------1"'" . -JIl 0 ~ _ I11118 ., .--~1)S:_--

(Total Amo~t in Words) lOne m/Ilion one hundred ninety-.feven thollsQnil pesos onlyTOTAL 1,197,000.00

In case of failure to make the full delivery within the time specified above, a penalty of one-tenth (1/10) of ODe (1 ) percent forVery truly yours, f'y

RAMONCITO C. MAGNA YE.MD.FPCS,MHA

'b 5 NOV 2021Confonne: . r..saWt ~OleA' I '1lC.1 KA:=~S,gnature Over pnnted name ofSup'plier

Date 111''1 I %01.1FuQd Cluster: (JI

ORS/BURS No.: 06-(C!~~:fIb- ~ADate or the ORSIBIJRS: ~ 11 :Amount: 1.i i,ooo.oo

DOll G(Wemmenl 4ccounJing MllnualPage/ofl

Scanned with CamScanner

I,~

----.".---------__.-~~-~----------

Rllnllhlir of the Philiooines.~- r- -- •• - _. _.. -. -- ··'-r -

Department of Health

TECHNICAL SPECIFICATIONSSUPPLY AND DELIVERY OF VARIOUS MEDICAL EQUIPMENT SET 2

182021-0118

.------_._--------------y-----------::--------------_._._BIDDER'S OFFERPROCURING ENTITY

COMPLY

Specification AS Technical Officer Specification as Technical OfficerBIDDER'S

STATEMENTOF

COMPLIANCEITEM 21: 1 UNIT Plasma SterilizerABC:PHP1,200,000.00

1 UNIT Sterltnk FP5-15S Plus LowTemperature Plasma Sterill2er

____________________ ~PH~P~1~,2~OO~,00~O~.00~-------------r_-----___f----COMPLY

STERUNK· FPS-1SsPlus sterilization system is alow temperature plasma sterilizer to inactivatemicroorganisms for a broad range of metal andnonmetal medical devices and surgicalinstruments at low temperature. This productis reliable and provides a variety of methods ofsterilization. STERLlNK" can sterilize medicaldevices by diffusing hydrogen peroxide vaporinto the chamber or pouch. It rapidly sterilizesmedical Instruments and materials withoutleaving toxic residues. All stages of thesterili:ration eyde does not damage compatibleinstruments which are sensitive to heat andmoisture. This sterilizer can be used for metaland non-metal medical devices and cansterilize instruments with high lumen

-,__. -!~c~haracterlstlcs and micro sized equipment.TECHNICALDESCRiPTiON TECHNICALD{SCRIPTION ---+------J1. 7- 60 minutes fast sterilization with auto 1 7 60 I

. - m nutes fast sterilization with autodetection of moisture and detection of moisture andpre-drying of ophthalmic instruments pre-drying of ophthalmic in$truments2. Caoacitv: at I~~t 14 liters:: lit IO:let l11bs., S 2, Capacity: 14 liters; at least Illbs~. creen saver for 7-inch TFTlCD display4. Decompose residual H202 into WATER ::lind 43.sDcreensaver for 7-inch TfT LCD displayOXYGEN .. " • ecompose residual H202 into WAT£R and

OXYGEN5. EqUipped with 03 purifying filter6. Improved st(!rile reliability with HEPAfiiter 5. Equipped with Ozone purifying filter

6. Improved sterile reliability with HEPAfilter I7, OperatIng temperature: less than 57 degrees 7. Op@ratingtemperature: Ie!! than 57 ~

~_s. degrees CelsiusPHYSICAL DESCRlPrION ----j-P~H:;Y;;S~,CAL::::::D::ESC==R:::,P:::T:::-:,O:-N--------·-__ ' ---1

Plasma system is a low temperature plasmasterilizer to inactivate microorganisms for abroad range of metal and nonmetal medicaldevices and surgical instruments at lowtemperature. It can sterilize medical devices bydiffusing hvdrcgen peroxide vapor into thechamber or pouch. It rapidly sterilizes medicalinstruments and materials without leaving toxicresidues. All stages of the sterilization cycle doesnot damage compatible instruments which aresensitive to heat and moisture. It can be used formetal and non-metal medical devices and cansterilize Instruments With high lumencharacteristics and micro sized equipment.

COMPLY

Dimensions: at least 433 X 614 X 437 (W X D x H 01unit: mm) , mensions; 433 It &14)( 437 (W x D x H, unit:

mm)Weight (Ibs, kg):at least 67kg Weight (Ibs, kg): 67kgNoise (in dBA): NAHeatdissipation; NA Noise (indBA);NA

Heat dissipation; NAMobility, portability! NA.__~~~~~~~~~::====~-----j-~M~O~b~j~li~~IP~.o~rta~~b~il~i~~;~N~A~ _

C~ ~ '82021-0118_ SUPPLY AND DElIVERY OF ~-.:.-RI-O-US-M--LED--'CA-~-f-Q-VI-PM-fN-T-S-ET-JZ

~-_;

COMPLY

,II

__________________ L- ._ _ _

PROCURING ENTtTY.----_._------------,------:::;;:-;;;::-----------------,

BIDDER'S OFFER

Specifitation as Tecbnical Officer

ACCESSORIES, CONSUMABLES, SPARE PARTS, ACCESSORIES, CONSUMA8lE'S, SPARE PARTS,OTHER COMPONENT OTHER COMPONENT


Power requirements: 100-120/220·240 VAC,50/60 HzBattery operated: NoProtection: NAPower consumption: Max. Power lkVA

1. External thermal printer2. Cart with locking wheelDimensions: at least 603mmx660mmx483mmWheel type: steel with high grade plastic cover3. Rotary sealer4. Compatible sterile packaging pouch madefrom high density polyethylene fiber materialthat is safe for hydrogen peroxide sterilization,with the following site,:(lOOmm wide x 400mm long)(200mm wide x 400mm long)(300mm widQ x 400mm long)5. Hydrogen Peroxide Cassette - good for atleast 30 cycles6. Vacuum sealed pouch that can b@star@d up to6 months in sealed sterile condltiOh, with thefollowing sizes;(135mm wide x 280mm long)(Z40mm wide x 410mm long)7. Chemieal indicator tape - for sterilization cyclemonitor

Specification as Technical omcerBIDDER'S

STATEMENTOF

COMPLIANCE

COMPLY

COMPLY

ENVIRONMENTAL REQUIREMENTS

Storage eondition;Temperature: 10-40·C

I Hymidity: 30-85%

SteriliZation not required.

Disinfection: Parts of the Device that aredesigned to come into contact with the patientor the operator shOUld either be capable of easydisinfection or be protected bv a singleuse/disposabl@covar.

UTIUTY REqUIREMENTS

Power requirements: 100-120/220-240 VAC,50/60 HzBattery operated: NoProtection: NAPower Consumption: Max. Power is 1Kva

1. External thermal printerSize: 120mm x 102mm x 146mmWeight: O.5kgThermal paper width: 56mm

2. Cart with locking wheelDimensions: at least G03mmxGGOmmx483mm

Wheel type: steel with high grade plasticcover

3. STERSEAl Rotory Sealer4. Tyvek Pouches:

TYvek 100 (lOOmm wide )(400mm long)Tvvek 200 (200mm wide )(400mm long)Tyvek 300 (300mm wide x 400mm long)

5. Vacuum sealed pouch that can be stored upto 6 months in a sealed sterile condjtion~STERPACK (13Smm wide x 280mm long)STERPACK PLUS (240mm wide x 410mm long)6. STERlOAD FPS - Hydrogen PeroxideCassette good for at least 30 cycles7. Chemical Indicator T~pe

~NVJRQNM(NTAl RmUIR£MENTS

Storage conmnon:Temperatur@: lO.40°CHumidity: 30-85%

Sterilization not required.

Disinfection: Parts of the Device that aredesigned to come Into contact with thepatient or the operator should either becapable of easy dl~infection or be protectedby", slnsle use/disposable cover.

COMPLY

182021-011B_ SUPPLY ANO OEliVERY O~ VARIOUS MEDICAL EQUIPMENT SET 2

II\

ftD"'''IIDIIU.I.:! I::IUTITVrnv~unll.Q .....".,. I

Specificatioo as Technical Officer

B!DDER'S OFFER

SpttificatioD as Tttbnical Officer

COMPLY

DELIVERY

30 to 60 daysfrom the receipt of PurehaseOrder.Before delivery, supplier must call the MaterialsManagement Sect10n for delivery coordination to

avoid non-acceptance ordelay in acceptance.

BIDDER'SSTATEMENf

OFCOMPUANCE

DELIVERY

30 to 60days from the receipt of PurchaseOrder.8afore delivery, I-Se;;2Modical, Ine. will e:.11theMaterial$ Manl!lgement Section for deliverycoordination to avoid non-acceptance or delay Inacceptance.

COMPLY

TRAINING. INSTALLATION & UTILIZATION

enelvzer and testing eculpment.c. Provide Service Report per unitd. Calibration Certificates or equivalente. Acceptancef. Preventive Maintenance Calendar

"(NOTE: PROVIDE' AND ATTACH DOCUMENT TOPROVE THAT THE ABOVE MENTIONED ARECOMPLIED SUCH as the ff.)"

a. list of the Engineers/Techniclans withtheir certificates to conduct service andmaintenance

b. list of the Analyzers/Testing tools withtheir Brand/Model/Serial No. and itsvalid certificate of calibration)"

c. sample(Template of Servicereport andCalibration certificate or eQuival@nt

d. Sample/Template of PreventiveMaintenance Sticker

e. sample(Template of Preventive t"~I_~ .. ~., -1Maintenanc@ Calendar ~"'I"'luaIJ

-TRA-'-N-'NG-,-'N-st-A-LLA-T-'O--N-&-U-T-,u=ZA-:-n=:-::Q-N:----+:T=RA~IN:-:-f:-:-N"":G:-,=IN-:ST=A-:-L~lA-:-·::::TI:-::O~N~&:::--u::-n-L-IZA:--:::T::-:,O::-::N~-t----

Pre- installation requirements: Availability of 5 Pre- installation requirements: Availability of 5Ampl15 Amp. EI@ctricalSocket Amp/iS Amp. Electrical Socket

Acceptance and Maintenance:A. During acceptance: The supplier shouldconduct actual testing (Qualitative andQuantitative Test) using calibrated analyzers ortesting devices. Witnessed by the end users andthe technical inspectors.

a. Valid certificatesTechnicians/Engineers

ofto

theconduct

service/maintenanceb. Valid certificates of calibration of the

Requirements for sign-off: Supplier to performin.stallatlon, safety and operation checks before"andover. local "finicol ~toff to affirmcompletion of Installation.


Acceptance and Maintenance:a. During acceptance: t-senz Medical, Inc.

will conduct actual testing (Qualitativeand Quantitative Test) using calibratedanalyzers or testing devices. Witnessedby the end users and the technicalinspectors.

I-Senz Medical, Inc. will provide the following:b. List of the Engineers!Technicians with

their certificates to conduct serviceand maintenance (See attached listand training certificates)

c. ust of the An;IIYler~(Testing tools withtheir Brand/Model/Serial No. and itsvalid certificate of calibration}

d. Sample!remplate of Service reportand Calibrationequivalent (SeeService and

certificate orattached sample

PreventiveMaintenance/Calibration report)

e. Sample/Template of PreventiveMaintenance Sticker (See attachedsample Prev~ntivi: MaintemmceSticker)

f. Sample(Template of PreventiveMaintenance Cal@ndar (See attachedsample Preventive Maintenance

COMPLY

l-Senz M@dical, Inc. will perform installation,safety and operation checks before handover.Local c"nlcesl stGff to affi~m completion of

in~tallation.

IB2021-011B_ SUPPLY AND DELNERY OF VARIOUS MEDICAL EQ.UIPMENT SET 2

t

I\

,.~...l-. ._..__

I

,~

____ . _ __.. . ._ ...__ ...__•. _~ ..__ ..L-__ ~_~ __ • ------- .•-- .-- ..------- ...- -

PROCURING ENTITY.-------------------,..----------_._ .._--------,

BIODER'S OfFER

Spedfication as Tethnical Officer

Training of staff (m~dical, t@chnicians):Training ofusers in operation and bask maintenance shall beprovided. Advanced maintenance tasks requiredshall be documented.

WARRANTY

COMPLY

WARRANTY

C. Service Unit:a. In case of Unit Malfunction, Bidder must provide C. Service Unit:a service unit within 24·72 hours until such time that 3. In case of Unit Malfunction, I.Senz

Medical. Inc, witt provide a service unitwithin 24-72 hours until such time that theunit has been repaired or replaced.h. I-Senz Medical, Inc. Service Team is

24/7 readily available to provide technicalservice and support within 24 hours from

D. Warranty Certificates: Comprehensive Warranty report via phone caU or email in case ofCertificates, must be included and define in the machine breakdown or as needs arise

"(NOTE:PROVIDEAND ATTACH SAMPLE/DRAFT FORTHE COMPREHENSIVEWARRANTY CERTIFICATfS)"

~DonCnU~M~£NT~A~T~,O~.N~~~~~~~~~~--rD~O~C~U7.M~E~NT~A~T~IQ~N~-------------+-----------

a. CertifiQtion from the manufacturer authenticated a. See attached certificate from theby th~ Philippine Consulate from the country of origin manufacturer that the warranty shouldof the hospItal equipment/machIne that the not be affected with the change ofwarranty should not be affected with the change of distributor.distributor.

A. Warranty Replacem@nt: In case of unitmalfunction the bidder should replace the unit witha brand new unit within three months from the startof the warranty period.

B. Service and Parts W(!rranty; at least two (2) yearsfor both service and parts with quarterly preventivemaintenance service

tho unit has been repaired or replaced.b. Bidder must have 24/7 readily available

Technician to provide technical service and supportwithin 24 hours from report via phone call or amallin cue of machlhe breakdown or as needs arise

contract

E. Unit, parts, and consumables should be availablewithin 5 vears.

In case said Certification is not available in time ofOpening of Bids, Bidder must submit it duringdelivery

Specification as Tethnical Officer

BIDDER'SSTATEMENT

OFCOMPLIANCE

t-senz Medical, Inc. will providecomprehe"slve training on operation,

Iapplication, technical and maintenance ofPlasmapp Sterlink FPS-iSS Plus LQwTemperature Plasma Sterilizer.

COMPLY

A. Warranty Replacement: In case of unitmalfunetion, I-Senz Medical, Inc. willreplace the unit with a brand new unitwithin three months from the start of thewarranty period.

COMPLYB.Service and Parts Warranty: at least two(2) years for both service and parts withquarterly preventive maintenance service

D. See attached warranty certificate

E. Unit, parts, and eOl'lsumables areavailable within 5 years.

182021-0118_ SUPPLY AND DELIVERY OF VARIOUS MEDICAL EQUIPMENT SET 2

I

PROCURING ENTITY,....---------------1-------------------- -------

BIDDERiS OFfER

Speeification all Technical Officer Speeiflcation as Teebnical orocer

BIDDER'SSTATEM_ENT

OFCOMPLIANCE

b. Bidder's certificate that the parts shall be available b. See attached certifICate that the partsat the authorized Philippine service center/s for a are available for a period of five (5) yearsperiod of 5 years after the warranty period after the warranty period,

C. Certification from the manufacturer authenticated c. See attached certificate that Sterlinkby the Philippine Consulate from the country of origin FPS-1SS Plasma Sterilizer has been inthat hospital equipment/machine has been in the local/international for at least five (5)local or international market for at least five (5) years years.

d. I=ordemonstration/confirmation of specification d. For demonstration/confirmation ofduring the evaluation. specification during the evaluation.

I--------------------------t.----------- + . _Should provide 2 sets (hard copy and soft copy) of:

e. list of essential spares and accessories, with theirpart number and cost.

1. User, technical and maintenance manuals shouldbe supplied in English language along with machinediagrams2. list of equipment and procedures required forlocal calibration and routine maintenance3. Service and operation manuals (original and Copy)to be provided4. Advanced maintenance tasks documentationS. Certificate of calibration and inspection

SAFETY AND STANDARD

1. Should be USFDA/CE/BIS/CDSCOapproved2_Manufacturer should "live ISO 13485 certificationfor quality stan~ ___... -.......

e. See attached list of spares andaccessories, with their part number andcost.

I-SenzMedical, Inc. will provide 2 sets(hard copy and soft copy) of:1. User. technical and maintenancemanuals In English language along withmachine diagrams.2. list of equipment and proceduresrenuired for local calibration and routinemaintenance3. Service and operation manuals (originaland Copy) to be provided4. Advanced maintenance tasksdocumentation5. Certificate of calibration and inspection1. CEapproved/ certified (See attachedcertificate)2. See attached EN ISO 13485:2016Certificate

COMPLY

COMPLY

COMPLY

No e and Sign~AuthorjZed Representative

(Sgd.) H/ZABfTH V. PALINES, MD, FPNA, FPPS, FCNSP

BAC Chairman

,....,. .< "-" ..... '. ,." ., ~. . .~"" ..~'-', ."" ...... ..,.... . -- ~-- -

PURCHASE ORDER~-


Supplier:; .$H()OTING STAR TRADING. .. \ P.o~.N()• 21-11:'0329..

~ddress: .#1 ,o.o.u&las Fir St., Greenwoods~ Pallocan East, Date: November 03, 2021

Batan&as CitytIN: .188;o243-279~OOO Mode of Procurement: PB June 202l

."(14..,,+1.0. __ .6_ . .

~,,"JJ"J""UJt;;J.l ..

Please furnish this'Offl"Ce the -fQllQwing -.tic~~ subject to the tenns endeonditiens contained herein;-·~P:O.,NO A~ceptancePlace of Delivery: B~fanps MedicalCenter Delivery 'Term:

Date of Delivery: As Need. Arises Payment Terra: 30 daX§ u120QcomEle~e de)jveQ:: . ,..


No

IV CANNULA G18. L: 1.3MM132MM, STERILE.MADE OF SIO-COMPATIBLE,

".------....POLYURETHANE MA TER1AL~NON-

PI~c:EPYROGENIC, WITH RADiOPAQUE MARKER 1(\ O(\n ~A OJ;: _ .. ,ft "" 0 00FLOW: 90MUMIN CATHETER HUB AND ......... ,"" .

Bai an!as Medic ~I CenterWINGS LENGTH: 3CM, 100SIBOX, JOOOSfCASE,

COI\ IISSION C N AUDITTROGEITRO- VENOCA TH, TROGE ME-meALGMBH. GERMANY REfjl~ED

ByIV CANNULA 022, LO.9MM/25MM, STERILE, , IL~ . -- V]jJ] al2i5JJ

-T I~~MADE OF BI()"COMPATIBLE, 'i 11111:: ~ I

PQLYURETHANE MATERIAL. NON~PIECE PYRDGENIC, WITH 1Y\DIOPAQVE MARKER 7;000- .34;95 244,650,.0,0,

FLo'W: 36ML!MlN CATHETER HUB ANDWINGS LENGTH: 3CM, TROGE MEDICALGMBH. GERMANY

,--...._SUBTOTAL 594,150.00

(Total Amount in Words)In case of failure to make the full delivery within the lime specified above, a penalty of one-tenth ( III 0) of one (1) percent for

every day o.f delay sbaH be imposed on the undelivered it~s. ;>>'L·dVery truly yours,

~tONCITO c. MAGNAYE~MD,FPCS,MHAMedical Center Chief II

fofttm/lI, ~.r ... 5 NOV__ ....

r'A_&'__ .....· U llfll""',V~l).V'III'C.

511!1.n.~(u• ., ...vx~u.nc\l "uu'" ....riSu ...pller

Date 11/08/21

:Fund Cluster: Oi ORSIBURS No.: 0/}-1{)1I01~~ I~~. . _ .......----- .Date of the ORSIPt,JRS;PundsAvailable; . r"Y"1I\,nlllJl1 /I/O.ifi

.~m·nllt ... '} . Amount:

CARM~'" ~AJ, ml lfJ~;U•.-. .\1

~] rb«;~j1~'~ ~~>.:}'L::l!.J;U ~ page /1]

,1 r~l:.. 1 J 20~1 DOH Government Accounting Manual::. ,

.. ". , .. ,. . \

E 1 f/rJ:4k /

'Jj'" -: ";, ,',' ':"" ~""~-:':':.... . r>.~- -- ,,_


"

Suppiier: .SllOOTING STAR TRADING ..P.O. No. 21-1'1-0329

A.ddress,~ #I,D~uilas fir St.. Greenwoods, Pallccan Bast, Date: November 03,2021Batan~as City

TrN: 188-243 ..279 ...000 Mode of Procurement: '. PJ;3 June Z041 ....-Gentlemen:

Please .f:\lmish this Office, the fClU9wingarti<:Je.~s-uoject 10 the te~ and conditions contained herejn:Place of Deliv~: 83"'1,1188, M'~~J Center Delivery Teon: N(;fp,O:. NO' Acceptance

Date of Delivery: As Need Arises Payment Term: 30 da~s'uEon comEIQte deliveryStock!


Balanced Forwarded 594,150.00

IV CANNULA G24, L:O. 7.MM/I9MM, STERILE.h MADE OF Blo~cbMPA TfBLE.

1---._._--' - ._-- .POLYURETHANE MATERIAL, NON. --PYROGENIC, WITH RADIOPAQUE MARKER e~tangas Me'_],cdl Cet~10r

'PIECE FLOW: 23MUMIN CATHETER HUB AND 4.~OtcNlI$£~N ON ALt~,80~ 00WINOS LENGTH: 3CM, lOOs/BOX. IOOOS/CASE, .R~Cl~~-TROGErrRO- VENOCATH, TROGE MEDICALGMBH GERMANY Fly rD'i12»£/IV CANNULA G26, LO.6MMlI9MM, STElULE, - I, 'Tj.'(!Jl

'1111 \;;MADE OF BIO-COMPA TIBLE, _.- "7

fiOL:YURETHAJ-iE M.ATERJAL, NON-

. PIECE PYROGENIC, WITH RADIOPAQUE MARKER5,000 34.95 174,750.00FLOW: I1MUMIN, CATHETER HUB AND

wrNGS LENGTH: 3CM, lOOS.lBQX. lOOOSfCASE,TROGEITRO-VENOCATH, TROGE MEDICAL

~ GMBH GERMANY

TOTAL 908,700.00

(Tota1 Amount in Words) Nine hu"dred, I#ght thousund seven hundred pesos only.

rn case of failure to fuake the full delivery within tile time specified above, a PenaltY orone-tenth (li! 0) of one (1) percent forevery day ofdelay shall be imposed on the undelivered item/s

~ ./' r.,

Very truly yours, l-- .';t

:/ RAMONCITO C. MAGNA YE.MD..FPCS,MHA

Medical Center Chief n2021Conforme: $9y4'l· ~ n 5 NOV

Sl~r:lalUI'G (.)vel'~n(.ed 1'lC;l'UC; 0.(" SlI.lpp"He.Date 11/06/21

Fund Cluster:~~!ft12I.W

ORSIBURS No.: ti2-:0/lfJrf:'-If.()()l)c(,Funds Available: Date of the.OR-SIB lJRS~ liZ .~.

Amount: 908,700.00

(:"'RMff;l'~,cP" r ~A . un II ~Ji4J"2J .

page 2/2--;- . ,



Supplier: GREPCOR DIAMONDE INC. P.O. No. 21-11-0328Address: 14 A 3rd Street New Manila Date: 03 November, 2021

Metro Manila, NCR, Philippines DIRECTTIN: 004-709-294-000 Mode of Procurement: CONTRACTING




No.1 box HEMOGLOBIN STRIPS 50 8,500.00 425,000.00

Brand:Hl!,MOCUH Hb 301content: box of 100

n IT:© IEJr'(r=-l~'· 1J 2Gr I I I ,f- ._.....

.~,-~';i'-"""iatangas M~~;:.al C8rll"'r :!8 C OMISSION ( N AUDIT

RECEI' fE..'3Note:

,,~.f.h { I

Please attach the following if applicable, upon delivery ~ I. ,'" IIIJ~1J,2i)2/-( !YQ attachment !YQ acceptance of delivery) 1" I.G ):(31/..-1. Certificate of Product Registration from FDA

, ...Ii-- 2. Certificate of Good Manufacturing practice from FDA


TOTAL 425,000.00(Total Amount in Words) 1Four hundred twenty-five thousand pesos only

In case of failure to make the full delivery within the time specified above, a penalty of one-tenth (1/10) of one (1) percent forVery truly yours, yv

"" )1Dvv--RAMONCITO C. MAGNAYE,MD,FPCS,MHA

Conforme: ()r;;;"'() ~~~ o 5 NOV 202tSignature over print'e'd~ e d£J;upplier

Date E)lJ V j-Oz...,1Fund Cluster: nl ORSIBURS No.: ce- /DII i>1-;)I- 1I-ca.:t>S"Funds Available: ~S;:002. 00 Date of the ORSIBURS: IIZg}_7.;>/

Amount: 425,000.00

CARMIN~'CPA Vt;occoun JI/7/~~ .c:

DOH Government Accounting ManualPage 1ofl

- ~. _._--PURCHASE ORDER

BATANGAS MEDICAL CENTER1--Supplier: CLOBO ASIATICO ENTERPRISES, INC. P.O. No. 21-11-0327

Acid r ess: 127 .lDK Bldg. Maginhawa SL Date: November 03,2021

Teachers Village-East. Quezon City

TIN: 202-482-112-00000 Mode of Procurement: NP- EC

Gentlemen:


Place of Delivery: Batangas Medical Center Delivery Term: NO P.O., NO Acceptance10 calendar days upon recei pl of

Dare of Delivery: P.O. Payment Term: 30 days upon complete delivery

Stock)Property Unit Descri ption Quantity Unit Cost Amount.

No.1--

REMDESIVlR lOOMG LYOPHILIZEDVIAL POWDER 1.000 990.00 990.000 00

-Desrem IOOmg

~cg~jI I~

Batangas r~e(ilcal Centert

J1'~~~OIVI:SSIC N O~;J,A_UOIT

BY: - . - -------- REC E~VEDpt. toI Note: I;{~=-,_,:J

Please attach the following if applicable upon deliveryByj ',~~ 1I/rf1/2iJJ/(N'O uttach nrent NO 11l:Cept(1I1Ce ofdetiverv) -1 11113 Fa4I. Certificate of Product Registration from FDA

_. ..2. Certificate of Good Manufacturing practice from FDA

3. Batch Release Certificate from FDA -.-----TOTAL 990,000.00

r'-; 1otal Amount in Words) Nine hundred ninety thousand pesos only

I,) case ofIai lure to make the full del ivery wi thin the time specified above. a penalty of one-tenth ( 1/10) or one ( I ) percent forevery day of delay shall be imposed on the undelivered item/so

Very truly yours. /. ,.1/ \

?vir. Mo~to B. Paga

RAMONClTO C. MAGNA YE,MD,FPCS.MHAMedical Center Chief II

C C: 11 forme:ClIamlvi Business ;\[auogf:r G :) I~(JI/ :112'

I Signature over printed name of SupplierDale 11·08-2021

1 lilid Cluster: .'h ORS/BLJRS No.: (Xi-It [10 l: Q1- J 1-(1.x"G"""'?r· un d s A\'ailable: :'fqo, :.:ty . ..L.___ Date of the ORS/I;3URS: 1{.(..Ci:.:1&'"

- -,..iliffr (cd[?: tlV]l~ Amount: 990,000.00,

\ CARM1~~~C:' A~rlJfL~O,CP.A " ! 'if; ;W~\ ACC.Qunta,l,p I .1, ! .j ~~ ~ i ' ~\ :~ -', :\;.,.__ . ..- •• 1 , . '.DOH Government Accounting Manual

/' "<; PU'RCHASE ORDER

BATANGAS~IEDICAL CENTER

S~pplier: SHOOTING STAR TRADL~GAddress; #1 Doujlas Fir St, Greenwoods, Pallocan.East,

Batangas CityTIN: 188...243-279-000

.P.O. N<h 21~tl-0326-------


Mooe ot:Procurement: PB July 2021

Gentlemen:Please furnish this Office the foll9wing ankles subject to the terms and conditions contained herein:

Date of Delivery: As Need ArisesPlace of Delivery: Sa_gas Medical Center Delivery Term: NO P.O.,NO A~c~tance

Payment Term: 30 dars upon complete delivery

Stock!Property

No.DescriptionUnit

PIECE

PARTlC ULATE RESPIAA TOR (tN95), DISPOSABLE,NONSTERlLE. FLUID RESISTANT, AT LEAST 95%FtLTRA TION EFFICIENCY AGAlNST CERTAINNON-OIL BASED PARTICLES, TWO STRAPDESIGN WITH WELDED DUAL PO~"TATTACHMENT. CUsmON1.'NG NOSE FOAM,ADJUST ABLE NOSE CLIP, (CUSION FlT AND NOSEAND SECURE SEAL) LIGHTWEIGHTCONSTRUCTION, ADVANCE ELECTROSTATICMEDlA. COMPATIBLE WlTH VARIETY OFPROTECTIVE EYEWEAR AND HEARlNGPROTECTION wrm UNlQUE FOLDED DESIGNWITH V SHAPED PLEATS STYLE. CUP STYLEAND fLAT FOLD, f\,1EDICALGRADE SIZE.MEDlUM, VFLEX. 3M, 3M TECRNOLOGlESSINGAPORE PTE LTD. SINGAPORE

~o{e:

Please attach dlC followlJ1gif applicable upon delivery(NO attachment NO acceptanc« ofdeiivery)l.CertifIcate of Product Registration from FDA2. Certificale of Good Manufactunng practice from FDA3. Batcb Release Certificate from FDA I


(Total Amount in Words)01lty.One million three hundred two tllousand one Ilulldred ninety nine pesos & 201100

Incase offailure to make the full delivety within the time specified above, apenalcy of one-tenth (l/10) of one (1) percent forevery day of delay shall be imposed on the undelivered item/so

Very truly yours, J/\-(

LConforme: ;SI9Y~7'~~----~~--~------~-----Signature over {lI'fntedname of Supplier

Date 11/08/21

64.98 1,301,199.1020,040

TOTAL 1,302.199.20

RAMONCITO C. MAGNA YE.MD,FPCS,MHAMedical Center Chiefll

rO 5 NOV 2Ol1

'-:~ _':=L_-~ DOH Government Accounting Manual

.," ~ -'"\

PURCHASE ORDER~BATANGAS MEDICAL CENTER

Supplier= STA. ANA ENTEQPlUSES -'.0. No. 21-U..Q32S

Address: . NQ. 10 Bellin~ St., Suburbia North Date: November 02. 2021

Maimeis, San Fernando City, Pampan~

TIN: 137-163-406--002 Mode of Procurement: PB June 2021-

Gentlemen:Please furnish this Office the following articles $ubject to. the terms and conditions 'contained herein:

Place of Delivery: BatangasM~caJ Center Delivery-Term: .NO P.O.• NO AeceEtan~Date of Delivery: As need arises Payment Term: 30 dals u~~ ~mElete delive!X


No.

COWSTOMY BAG AND WAFER, ADULT

PIECE 70~ NON-STERILE.STOMAHESIVEWi50 183.35 9,167.50-< WAFER, WI DRAINAGE COWSTOMY

POUCH, SURGITECH

~U;©~ll~=l .N' ~ 1 0 20~1

~ -I Bil~n~as M~)(;ii .1 CencrI

l·J4~it~ c.~ISSION ( N AUDIT

Note: RECEI' !99,116, -Pleasuttach the following if applicable upon delivery ~y ~1,iW -(NO tI.tIIldmumt NO acceptance 0/ delivery) " i~~

'/ J:l?lj, -"111113

1. Certificate of Product Registration from FDA - -...---...._ 2, Certificate of Good Manufacturing practice Jiom FDA -

3, Batch Release Certificate from FDA -TOTAL 9,167.50

(Total Amount inWords) Nine tluJllSand one luttulret1 sixty seven pesos & 501100 only.

. In case offailure to make the full deliVery withln the time specified above. a penalty of one..tentb (111 0) of one (1) petCetit for •every day of delay shall be imposed on the undelivered item/s,

Very truly yours. !,/'-t/RAMONCITO C. MAGNA YE,1\ID,FPCS,MBA

Medical Center Chief II0 5 NOV 2021

Signature oVi\f~ed name of SupplierDate. R ?1 .• .

Fund Cluster: Ql ORSIBURS No.~ (R~!J/;i;:kXOIFunds Available: '1Ud'ro .Date of.the ORSIBURS:. ~. . -- Amount: 9,167.50..' ~~n\\n r,uvn!jf.[ fi-{;::n\\'l~ ...._. .OASJ'"" ~I' :r~:t~lrcoo T N'cV Q 2 inn · ~ ~fii V,( q~~. iU '., . r v DOH Government Accounting Manual

i ..... ~•._ .•:_~•._.'T' JI...:)'vl:JU ,U L.:J I.,...-'

-0, PURCHASE ORDER

BATANGAS MEDJCALCENTER{len ~c~CTOJlY NON-oSPIC.L\LIZED WSOLISALE TRADING~r-r8JJy. Ve Ngbr!!!. LIe!I . . ,

P.O. No. ~1;'JJ4)324

Dlte: November02. 2021

Mode of P'roCtIft"lIfentl SHOPPING....;Please ~ish mi, Ofti" the follOwina .mcles sub' eel to the terms and conditiQIIscontained herein:

ofDllivcry: Datal!&!! MecUaI Ce,oter ... Dolivel)' Tenn: .iImP.O., NO Acceptance10 calendaf days upon receipt of

. P.O.tato of Delivery:

DescriptionStockI

Property UnitMo..

PACK BATTERY AM 2PCS/PACK

PACK BAlTERY AA 2PCSlPACKPIECB BATTEIlY. SI%ECPIEC£ «:LIP BOARD ..PLASTICPIECE DATA FOLDEIt.

BOX ENVELOPE. BROWN, A4 SIZE..SOO'SIBOX

BOX ENVELOPE, BROWN, LEGAL SIZE. 500'SJBOXPlICa BRASER,RUBBEIl

PIECB FJt.E BlNDER,A4

PIECEROLL

BUNOLl i;.~~~ .

111110

(Total Amount in Wotds)

Quantity UrutCost

.'6,500.00

8,500.00

660.00

2,250.00

32,500.00

2,600.00

1,800.00

150.00

10,000.00

3,000.00

1,900.00

39,250.00

119,110.00

Incase of faiJuro to make the twI"ivcry within the time specified above, a penalty of ODe-tcntb (lIl0) oCone (I) peReD~ ferevfItYday ofCJeJay shall be impoaed on the undelivered itemls.

Very truly yours, )t'v .RAM()NCfro C. MAGNAYE,l\m.rPCS.MIIA.

Modi'calCenterChieft 3 NOV 2Rt

ORSI8URS No,: t#-tD"".~Il· JI.«l16"DateofrheORSIBURS: NOV 02 202]':~~~ -

Uod Cluster.Puuds Available:

-----~~ ,.l~p Ph-)

33.00

17.0022.00

45.00

6S~00

650.QO

900.00

3.00

100.00

60.00

950.00

500

500

30

SO

SOC)

4

2SO

-1~-

785.00

(

~

--"'------------------~~-.------------~---- -'~~ .-.IURCHASE ORDER -~, -. .-:..~ ...... J. , ...

BATANG.t\S MEDICAL cENTER-

Ipplter: AC vtCl'ORY NON.oSPEClAUZI:DWHOLUALl'J'RADING P.D.No. ZJ ..1J..()324Ltd.... : a•. Yukos. Naakarlan, &sun- Date: November 02. 2021

_..IN: 233 ..589-899-000 Mode o"rocuremtiift SHOPPING

-

tntlcmen:Pleast tbmisb this Oftic:e the foUowing artiel" su~ect to the terms and conditions contained herein:

lace ofDeliw;ry: ...... Medical Ceoter Delivery Term: NQ P.O.•W9 Acceptance10 ~cndar days upon receipt of

.otDcliwry. P.O. Payment Term: 30 dal! upon 9O!?1ete deliv!I

Stock!Property Unit Description ' Quantjty Unit Cost Amount

No. .-

Balance forwarded . 119,110,00..PIECB MAGAZINEJO'ILBBO~ LONG 100 62,00 6,200.00

r=>;

PIECE MAR.JCER. PERMANENT BLUE. .f[NE TIP ISO 7.00 1.050.00.PIECE ~,.,& PERMANENT RED, FINB TIP SO 7.00 350,00If'-PlEa MAR.K.ER, WHJTBBOARD. BLUE 200 11.00 2,200.00

PIECE MAUER. WHITEBOAJU). REl) 100 11.QO 1.100.00

BOX NOTEBOOK, COLUMNAll(24 COLUMNS) 20 50.00 1,000.00

BOX PAPER CLIP, BIG 4SMM 300 15.00 4,SOO.00BOX PAPER CUP,8MALL, 32MM 200 6.00 l.200.00

JU!AM PAPER PARCHMENT A4 500 91.00 45.500.00~---t--------h

REAM PAPEIt;,SPEClALTYFOR tjal~ MecL~c \ ce\QQr i 180.00 18,000.00

BOX PENCILWJTHERASER#2 I~SION Oi ·J.A~IT'\ IS.00 1,800.00.~

RlE~CEPjr.'~ROLL PLASTIC COVER l' 8.00 8,000.00.....,-'

-' • nY SA~~'~·"':::__.sv 'TOTAL 210,010.00

(Total Amount in Words) \ ),i~f! 1IlJ1t:1 $>071- pgu., :.

In ~ of failure to make the full cillivay withift·.... .;_ • ,...... .L -" ot'Oile-tenth (1110) of one (I) percent for=: .......IVeIY day ordelay sbaIl be imposed 00 the UDdeJivered item/so

Vory truly yours. trY""'J . tiMOHCITO C.MAGNA.YUfDJfPCs.MHA

t1t4ft Medical Center Chief II~. '1 IF..l.M , I.E 03 N(n/ 20Zt. .

SJanaWre 0'tJP''intcd namo ufSuppJi.,.Date I ,. ocf. .Ii)~

FUIld Cluster. ~.OR$IBURSNo.: ~·H..ft"ll.~

Fundi Awilable: Date of the ORSIBURS: == 2021 ::

~A

. AmouDt: .' . " '

~»,

rII(Q' . t ._

DOH Oovommant Aooountina Menual... ..... .

--------------------~-~~~,-------~--------------,-~~------------< .'-URCI{ASEORQ~R

BATANoASH.EDICAL CENTER'.....

P.O. No. 2J ..II..o324_ ..................... ---IPPIlen ~(: VlCtQAY NON..srBCIAU~ WHOLESALETRADING

Id~ 8.. ,Xa NWar!!n...... ' Dates Ncwcmber'02. l02f .

..II._.cOA...a99-QOO... ~rw __ . Mode or Procurement: SV,--...;;;,.;.-----:edemen: •

..... fUmish,this Office the .folloWmgarticles subject to the terms and condition. oontained heroin:

IIICIofDolMry; .tu.1 Medical CeQ... _. DeUvery Term: N9,P..R. NO Acceptance10calendar days upon ,,",ipt or ..

1te ofDo1ivery. ,P.O. Payment Term: 30 day! !Pm complete delivery

... 210.010.00

4.750.00

700.00

9,500.00

1,500.00

4,4S0.00

Quantity Unit Costm,pecty UnitNo.

Description Amount

8aJInco forwardedBOX JtUBBER.BANl>. BIG .50

PIECE RULI!Il18lNCHES 35

PIECE SRAkPENBR (IlEA VY DUTY) 50"BOX STAPLE WIRE HD 23/10 SO

pmea STAPLER. 8BAVY DUTY. BINDER TYPE S

PACK mCKBR PAPSR.A4. WATER RESISTANT400100SIPACK .

ROLL ' TAPB SCOTCH 2 INCH 300.

9,5.00

20.00

190;00

30.00

890.<»

Bat5~~s Medi~';-~ICO~/~~ DN ON ~.OO

RfE~ E~VFDfI~By : S "-

~,).Il~ • ----' ~~221IIIII(~ jOLi) .

NIIII:PI... attICh the followm, iftpplicableupon delivery(NO lItIIIdIiIfmt NO .e«p"~t1/ tlaw.,)1.Certificate of Product Registration &om FDA2. Certificate of Good Manu&ctwina practicetom fDA3. Batch Re1easo Certifi.., &om FDA- 25,.,tO.oo.

(Total Amount inWords) Two IUIIHlnd tift,y-levea thouaad MYen haDdAd tea peIOI OBI)', , .

D case offail\R to make tho fUll delivery within the time specified above. a penalty of one-tenth (1/10) ofol.\O' (I)percent for"y day 0( delay shall be imposed OIl the undelivered item1s. .

Verytndy yours, NRAMONCJTO C. MAGNAYE.MD,JPCS,MJIA

Medical Center CbiefD 0 3 Nov 202'

ORSIBURS-No,: Oa-mt..,.."""Dat.otth.ORSIBURS: N~ [JIll .Amount: ... .

.:pago313,:::f. ,ji~

'.'-..."

.--,.....

PURCHASE ORDER /---...~

~,

-, ."ATANGAS MEDICAL CENTER ~,:.Supplier: STA. ANA ENTERPRISES P;Q. No. 21-10-0323Address: No. 10 Belling/on St., Suburbia North Date: 29-0ct-21

Maime.is, San Fernando City, Pamepn8_a PUBLIC BIDDINGTIN: Mode of Procurement: JULY2021


Place of Delivery: Batangas Medical Center Delivery Term: ~ P.O., NO AcceEtanceDate of Delivery: AS NEED ARISES Payment Term: 30 da~s u~n complete deliver~


No. -;

1 piece Blood Bag Sticker Type A 4.000 11.20 44,800.00

2 piece Blood Bag Sticker Type B 4,000 11.20 44.800,00

3 piece Blood Bag Sticker Type 0 6,000 1/.20 67,200.00

--:! piece Blood Bag Sticker Type AB 1,000 11.20 11,200.00-, B~t~n~as Medir.al C81 i~lr --Note: I COMIS SION ON Al OIT .Please allach the followlng i[applicable, upon delivery RI~YED

-( f:ifJ. flllnchml!lIt t::!!J. acceptallce o/dellvery) -I. Certl/lcaJe 0/ Product Registration from FDA Ry , • -- iloid2J> ,i, ' -

W2. Certiftoot« a/Good Maflu/aclIIr/llgtxQClice/rom FDA ~ 'i~~ ,.

3. Balch Release Certiflcate from FDAlillie J:l:, ~4 -- I

fVIAL 168,~OO.OO

(Total Amount in Words) One hunded sixty eight thousand pesos only.

In case of failure to make the full delivery within the time specified above, a penalty of one-tenth (111 0) of one (1) percent fort~day of delay shall be imposed on the undelivered item/so

Very truly yours, j/V/RAMONCITO C. MAGNA YE,MD,FPCS,MHA !

MARIACE LIA TRINIDAD Medical Center Chief IJ:::onforme: "0 5 NOV 2821

Signature ove/~inted o~r1'SupplierDate OV I

'und Cluster: a ORS/BURS No.: {);}.I()IJ()J.JJ .. ,/~ ..'unds Available: ilRfl.N'J ~r'\r Jt (Unfit' Date of the ORS/sURS: ...U~s;_ ~y

di 'IlUl~JI'l . ~ ~I Amount: 168,000,00''''Jl 'l4fVpCI'

CARMlN .~tA , ~1tfe;~:;~A9 W2\.~ ..r.

~CCOIU-. t' "'1'1

?fr@7n., am[ -.---~---~ DOH Government Accounting Manual:-- '&~----:"'''' fi~©1~l1~=1t ~",o.er It

~'C'J 0 '" 2921 ~ I'r ' 1J 2D~1 I I

)··t~ i ·1.' n::"';'''''\;:rb~ m.t £wI .------------~-----

= ~,; .~.-~ l",\

I PURCHASE ORDERI<, .._"

BATANGAS MEDICAL CENTERSuppUet! '~M;\lB pHARMAINC. P.O. No. 21·10~322Address: 3RD FL. JAFBR BUILDlNG Date: 29-0ct-21

WEST AVENUE,QUEZON CITY PUBLIC BIDDINGTIN: 007-437-703-000 Mode of Procurement: ruLY2021

IGentlemen:

I Please furnish this Office the following articles subject to th.e.terms and conditions contained herein:I

iPlace of Delivery: .a.~esMedkaJ Center Delivery Term: NO P,O:, NO AcceetanceIDat~ofDeHvery: AS NEEl> ARISES Payment Term: 30 da~s uE,2noomeJete delive!}: .

I Stock!Property Unit Description Quantity Unit Cost Amount

No_J pcS' Transport Bag/or Blood unit, Polyethelyne, 7,500 280.00 2,100,000.00

insulated, 2WBI4PC capacityLMB technologies GMBH, Germany

I 2 test Proaalcitontn; Point of care testing 200 750.00 150,000.001\ 25s1kit Hubi, Korea I S r· ~F':~;~:(~~;'~:~---IBatanqa II "~' ~....,', (

iNote:.j COIVilSE IO~1(Y'l .':_\I_Jl~)! ~

Pieasll QriQch me foliowillg ifQPplicable. upon delivery RfE :EiYED -( M!. attllCltmel1l l'iQ II«qttfn" 0/ tkUvery) tl~il -.t.Certificate QfProduct Registratlon[rom FDA BV : ..R1 ~ii'1. . -

I );'i~~(. J11IDJ20T------: I

2. Clfrt!ficale o/Good Mamt/acruring prrzarice from FDA,.', 11I1<..'!

J. Batch RBlCQ'scCertificaW from FDA Ll:!#- ___~_ITOTAL 1,250,000.00

(Total Amount in Words) Two million two hundred fifty thousand peesos only.

In case of failure to make the full delivery within the time specified above, iii. penalty of one-tenth (1/10) of one (1) percent fore'~ay of delay shall be imposed on the undelivered item/so

Very truly yours, rv~

RAMONCITO C. MAGNAYE,MD,FPCS,MHAMedical C-enter Chief n

Conforme: Kristian Allen Magbuhat (0 5 NOV .-.Signature over printed name of SupplierDate November 09,2021

Fund Cluster: OJ ORSIBURS No.: t42:LOJtO('1U-1I~3Funds Available: !2.2.9> ,OCb ' DO __ Date of''theORSIBURS: lI~liI.

Arnoune: 2,250,000.00

<:' e. ).~~l(~r mCARMlNA •cll.ST1' ,\\1 ·-;uri}/'U'<Q 1 I

CeQ V "(',' \ ~\ r " I ".•\ J \..... ,,'t I. ...; i-

t+ --- ~....-S.:v DOH Government Accounting Manual

--------.-----------~---


SUPI>lier: . SHOOTING STAR TRADING P.O. No. 21-l0-032..I tAddress: Sampaga. Batangas City Date: October 29, 2021 r

!Batangas \

PUBLIC BIDDING~

TIN: 188·243~279-000 Mode of Procurement: JULY 2021 ;Gentlemen: ~


Place of Delivery: Ba,tangas Medical Center Delivery Term: ~ P.O., NO AcceEtance. Date of Delivery: AS NEED AIUSES Payment Term: 30 da~s 1JeOn come1ete delivery

Stock} IProperty Unit Description Quantity Unit Cost AmountNo. r

pc Blood Bog - Double, 2.000 38-1.00 768,000.00 !( 'POA- 1. .JjO ml. i

ITC.'I'IIIIlU. Japan I {j pack/box

1R9. 000. 00 L,r>. pc Blood BaM - Single, 1,000 /89.00CJ'DA-I . ./50 ml

Terumo. Japan / (j pack box- ... .~

box Sterile water IU)t ,/iff' i/~iJt·tion (triple distilled 200 3.919.00 78J,8f)O. Of)

\1'0('<"1). J Lp4J¥'(JL/'M.'()~Qili}1~).\·iI Lab I - .- "., ._--_ .., . . . . Batan~as Medic81 Ce~ id I .,

. :I';··V·' .:i·:;} '~~1' ~ COMIS piON ON AL OIT It I: ' .. f "'" ~ ·to

RE:CE~D( ti.Q n{fachmelll t:!fl ncceptance til delivery) - . t.'

I:1 r ('"llftiG/1! ;1{P;04UC1 R~gl$rrafl'ollfrai)l FDA -{

.• 1. r::ei';i{r(:ON ;;j (io!J(j' \'kmll/tt{'IIIr'illg procnc» !((Im FOABy

,j(ff)q/ ~t.1 -

I.

r tJi'(ch RJ!I,tuSu Cernticote from FDII '1',.;I I."j l(!

~'1 II liE!

(/:,*, -" '"

-~ 1,740,800.00'''''''&.1

(~, Amount in Words) One million seven hundrea forty thousand eight hundred pesos only. ~.

l- .. In case offailure to make the full delivery within the time specified above. a penalty of one-tenth (1/10) of one (I) percent lorevery day of delay shall be imposed on the undelivered item's.

Very truly yours.

RAMONCiTO C. MAGNA YE,MD,FPCS,MHAMedical Center Chiij'{ ~ NOV 2021

Signature over Tintedname of SupplierDate 11/08/21


ORSiBURS No.:DAte of the ORS/SURS:Amount:

PURCHASE ORDERATANGAS MEDICAL CENTER

Supptier: METRO DRUG,INC. P.O. No. 21-10-0320---~~_;_.-Address: Manalac Ave .. Bicutan. Taguig City---~~~~~------------TIN:

Date: October 29,2021

Mode of Procurement: REPEAT ORDER004-641·985,·0000

Gentlemen:


Place of Delivery:

Date of Del ivery:Batangas Medical Center Delivery Term: NO P.O,. NO Acceptance


Stock;'Property

l'Jo.

As need arises

Unit

8,450.00

--.----~--.----~--------,----------------~---,_------4_----,------~ETOPOSIDE 100 MG

VIAL Etopul IOOmg:511'li "01, For lnj, (IV), Korea UnitedPhar Inc, Korea. Box of 10's

IACETYLCYSTEINE I OOMG/ML. 31\11.

P E AMPUU: FOn INHALATIONAM UL·· "I' '11('0 . SIC' I I I' Zt· lilll1l1CI ) mg.rn ,0 r or n 111anon. .ampon

S p.A .. Italy. 80x oi S's

Descri ption Quantity Unit Cost Amount

I r C~%~I~~~~~:;;'~~~~~~;T-1INore

: RE,r EPiE1J I

1Please attach the following if applicable upon delivery :~

(NO attachment NO occeptance 0.( delivery) 1:1" I .../ - '<

I Certificate or Product Registration from FDA ~;Ite : Z~~;J-i;)i--·II.:.~)., Certificate of Good Manufacturing practice from FDA e J' ~ J'

_____ _ ~~B~at=c~h~R~e~!e~,~ls:e~C=e:~r~ti~fi:c~at~e~f~r(~)l~ll~F~D~A~._l ::tl=ll~l~-~~==~:===~==:.~==~-:~=.~'r----------'----------------------'--

(ToWI Amount in Words) Fourteen thousand seven hundred fifty pesos only~--------------------------------------------------------II.--LQ case of failure t.o make the full delivery within the rime specified above, a penalty of one-tenth (I; I 0) of one (.1) percent for

'y day of delay shall be imposed on the undelivered iiem/s.

25 338,00

84.0075 6,300,00

GRAND TOTAL 14,750,00

Very truly yours,

RAMONCITO C. MAGNAVE,MD,FPCS,MHA

Conformc: ~_"_"_'-=-B::.EL::c.I,-,N.:;..D~A__N....:.O_N_A_S~ -_' _

Medical Center Chief Il


D<:ilt' November 04,2021

jI

Fund Cluster:

Funds Available:

"1\________ v_, _

,'{-:I\\' )'.,,'

page 1/1

ORS/BURS No.:

Date of rhe ORS/BURS:

14,750.00Arno un t:

CARMINA C. CASirlLLO.CPAAccountant IV

('I!. (I{ !7Llj.-q (/


,- '.,,~ " ~ ~ ~,

. PURCHASE ORDERBATANGAS·MEDICAL CENTER

SUpplier: AlA TECH ENTERP.RJSES P.O. NO". 21·10..03198Hc M lOt 5 North Fairway Homes, Cit)' of

Add,...: San Jose Del Monte, Bulacan Date: October 28, 2021nN: .703-555-656-000 Mode of Procurement: SVP

Gentlemen: ,.

Please furnish this Office the following artiCleS subject to the terms and conditions contained herein:

Place of DelIVery:. ,

satangaa Medical Center Delivery Term: NO P.O .• NO Acceptance

Date of Delivery: 30 Calendar days upon receipt of PO Payment Term: 30 dalS upon come'ete detive!l

StocklProperty Unit DescrIption Quantity UnftCost Amount

No.

units ' Telepnone units, MaIogue, wall mountable, last20 800.00 16.000.00.. number redial

l---..._

~

"j

8ata gas M€i'::ical Sentor tCOrvl1 SSIOi\J O"j f'l.,UDIT ..R ECE;VE D

I~~©&dr'W=- Ov r,~ h

I);';:~, ~''''~ IIJ~ :JiJ.2I'11111(; --.- rl~l) -

8 L -. • _ _~6A.f

~c: I?f....,

-i' TOTAL 18,000.00I .''(total Amount In Words) Sixteen thooiaii6 pe--o. ooiy_

In case otfallure to make the full delivery~in the time specified above, a penalty atone-tenth (1/10) of one (1) percent forevery day of delay shall be imposed on lhe undelivered ttemfs.

Very truly yours, hi~riliol RAMONCtTO C. MAGNAYE,MD,FPCS,MHA

Medical Center Chief ~n.4 NOV 202\Contorme:'.

Signature over pnntAd na~ of Supplior. -.

Date November 5, 2021

:und Clwster: or ORSJBURS No.: oP~!JNIIIlNa-:Joft,.. 1I-t0n3=unds Available: 1~.fP)S2 Date at the ORSIBURS: IJUV U2 ZU21•

l?:r-~~:n ~ ~ ~u~~nill1~' Amount: 11.000.00

" Plu..o; ;f " .' l'~ ",_ 111 . r~ 'f;/~1 " ~: "ccou . . . J.-tJII'.! (..-,.n; ''': .: 11':'j ~~- ~cr~; Q~ r 2 8 ZGil .,", ..~U. .n;

DOH GtnImmmtt Accrnmdng Ma"flalU{,""'"'''''''- ' ." ....,....'11" .... ,'; Uor:s\~"[rrst~U ',' - I _J ,L,...1",._ ' •.." ..._.. . ~....._l ---.......,.......-

I -,~

'.PURCHASE'ORDERSATANG-AI· MEDICAL oem.

D.te:·~ 28.2021~eof~:··sW .... ,

: .,r -r

GtmtlemfH': ,. '. " . . , .'.,.".: :..~1\li'nisb __ Qftk$1le~g.~es. subjecHtItf\(Ha1m$ it".i.tOr.di~~ f.:QritaiOed hetein:'

StQCkl .. . Property . , Unit

By

fJ(?S.

QuantitY' ([nit Co~f' . Am()Unf.': !~. ~ ':

. .TQIlt.f~ F\lJlxem CT2~ (1<!k YleIb) .For Fuji xerox Oocu Centre $211G PtI0c0pier 6 . .4,500..00 27,000.00

Drum cartrldge CT351075 (6OkYield)- For FujiXerQx Oocu Centre $2110 PhOcopief'

.. EpJOn C13Tp.4P100:main.lenancebox <GenUin&)1---=.-...I~_pC$. . for EP,SOfl L&'170 Piin*8f .

21,980.002 .10;~.OO

~I~©lbITW= '

. jt14dnl~._- -.--~ ----~--

't~1-1; (7~

TOTAL

.00

•(totat~nt,ij'\Wofds)'H .. ' '. :,' l : ,,~FIft1e1ght>thouund""veri,~eighty,_,.only. ' . .". 'Anl:lll"_,~·~~~·~~_~~·8bo.ve:apenaltyofon.tenth(111Q)ofone{1)pEir:centfo.·

every'dayOf detay shall be· itnpoSed On the t,H\deIIvered item/&;

very truly yours,

FuMC~FundS Available;

s t-. RAMOHCITO C. MAGNAVe,MD.FJtCS;MttAMedicalCenterChiefti 04 NOV 2021

'. ,A .,' r"".~

,..... ' ..


Supplier: ENGLAND TEXTILES

Address: 596 CM Recto Avenue

Manila, Metro Manila

TIN: I00-75V~46-000

P.O. No. -------21-10-0317

Date: October 28, 2021

Mode of Procurement: PB July 2021


Place of Delivery: Batangas Medical Center' Delivery Term: NO P.O., NO Acceptance60 calendar days upon receipt of


Stock!Property

No.Unit Descri ption

IIS.500.00PIECEStretcher mattress with leatherette cover.poly foammattress.durable.sturdy, 24x7Sx4 inches

Quantity Unit Cost AmOLlnL

i.J

3,950.0030

Batangas Mec'ir:ai ;~en~('r--ICC jl/ll SSION G~i AUDIT

RlE-CE '/[3;\,._q~~;;:lI

___ -t-__ \.1:O~ _11111.

TOT AI., 118,500.00 i

Very truly yours,

RAMONClTO C. MAGNA YE,MD,FPCS,MHAMedical Center Chief ll

(Total Amount in Words) One hundred eighteen thousand five hundred pesos only JIn case of failure to make the full del ivery with in the time specified above, a penalty of one-tenth (1/10) of one (I) percent for I~

I

every clay ofdelay shall be imposed on the undelivered item/s. . •

L(2.--1./ ~~ Alexander TeeConforrne: --------------------------------

Signature over printed name of Suppl ierDate November 5, 2021

I~~i

Fund Cluster: ORS/BURS No.: oa ~02¢(p<N3~ozo,Ql-.'~Date of the ORS/BURS: NOV () !!. 2021 IIAmount:

Ipage I II J

Funds Available: II?? I'-\t[) " ro

.»:CARMINA s,0\.~nL~,gACPA

Accountant.I v-I

- \' \'DOH Government Accounting Manual

Republic of the PhilippinesDepartment c.., .salth, Center for Heal1h Development (CHD) IV.:.J'<.,.n;.LABARZON

BATANGAS l\fE))ICAL CENTERBatangas City

ISO 900-1:2015CERIIFlED

JOB ORDERCONTRACTOR/SUPPLIER ESCO PHILIPPINES, INC. JOB ORDERNO. 21-10·0316

ADDRESS R7 Tower B, Two-E-Com Center, Bayshore Avenue,DATEMOA Complex, Pasay City, Philippines 28-0ct-21

TINNO. 008-029-310-00000 MODE OF DIRECTPROCUREMENT CONTRACTING

PLACE OF DELIVERYBATANGAS MEDICAL CENTER NOJOBORDER

KUMINTANG IBABA, BATANGAS CITY DELIVERYTERMNO ACCEPTANCE OF DELIVERY

PROjECi COMPlEiiON 30 CALENDARDAYSUPONRECEIPTOFJ.O. PAYMENT TERM30 days upon

complete deliveryPROPERTY

PROJECTDESCRIPTIONNO.

gUANTITY UNIT UNIT COST AMOUNT

1RE-CERTIFICATION & CALIBRATION

1 LOT 44,240.00OF BIOSAFETY CABINET 44,240.00

Bram;J: ESCO MQael: AC2-3S3

~SIN: 2006-13689

SCQPE QF WQRKS:1. Replacement of the following:a. Speed controller 230V 6Ab. UV Germicidal Lamp, 1Sw,- 1.5ftc. UV Ballast 230V, 0.29A, SO/60HZ, TS

or T8 Max 64W CMBNTNf"- -,2. Certification of Biosafety Cabinet I Batanq s Mr.,-i','='! c'~'~:~'~--ta. Airflow Velocity Test (Inflow) ! _, .' . ~'-' ' ... , "

" COi\il.S, ·10!\1 Oi'J ALJL')ITb. Airflow Velocity Test (Downflow) IC. PAO Filter Leak Test I R~ ~, VrDd. Ught IntenSity Test ' ,~ I ~r,'...." ." .e. Noise Level Test GV

~OS3 I'd. !Vf. Smoke Pattern Test --

=~21-g. Site Installation Assessment Test t ,'i ~"

h. UV IntenSity Light Test IIIII~': tD.~Qc, .. Ir-- -" '-_..-J

3. Supply and Installation4. Testing and Commissioning

SUB TOTAL AMOUNT 44,240.00

:TQTAI.AMOUf\lT IN WORDS)

~eceived order and hold myself binding to the conditions stipulated in the:eneral and special conditions of the RFQjCanvass Proposal.

:onforme:


Medical Center Chief IIa 4 NOV 2021


Signature over printed name of SupplierDate

,Rev. 01

»=>.


Supplier: BATMC EMPC P.O. No. 21-10-0315

Address: Kumlntang Ibaba, Batangas City Date: October 28, 2021TIN: 006-024-980-000 Mode of Procurement: SVP





No.

bottles DistiUe(t W~ter 200 90.00- 6 liters per bottle 18,000.00

h -- '-._.Od fdllYd::> IVIb'~",,' .(;1 I \...-en f .::'r

cor ~ISSION CN AUDIT

~lE(glb;U;W)1;~ Ki:\';~ ~Ur\ m; 1 tJ" 20~I . Ro lie-r1..By '_~,A,"". ~. I .... '~ .~

By:.G~k:....~-- {.ICl.e , 1111 I'dJ)ZfTIII18 q:~--

,.." 1

I j,~:rr'V 'I

TOTAL 18,000.00

(Total Amount in Words) Eighteen thousand pesos only.

~ case of failure to make the full delivery within the time specified above, a penalty of one-tenth (1/10) of one (1) percent forIy day of delay shall be imposed on the undelivered item/so

Very truly yours, r-:m~k RAMONCITO C. MAGNAYE,MD,FPCS,MHA

Medical Center "" ~ 9 NO I?"" 1~)Oltl{(,~ ~. rrovm.l~ V L-VL..'

Conforme:Signature over printed name of Supplier

Date 11- 10-1.1- ~\

(lA-l'- _,.. ~

01I

Fund Cluster: ORS/BURS No.: O'2~It?IIOI·20.21' II· 01m!1Funds Available: 1<;(,mJ.nU ~~~~ln pate of the ORS/BURS: 1I1~12t

'_(£_ ) [qld0t~ 1 ~mount: 18,000.00

CARMI~~LO.C OC1) 8 )01\ !counta II

-:'\ r:Jr>,...,f1'\ rQr;:;-- 11."\."7, ., I I U L.:J L.:

l'~--L': ~~bj'<" ':1 DOH Government Accounting Manualt;1 "I! OCT 23 2~~[5VLJUU-U

----------------------_.

'\..."\"

..,--.....

_. c-

PU.CHASE ORDERll~tANGA$ ~lUlJ('l\LC:ENTE~.

SUppftet! ~TECtI COMPtn'£R TRAOlNG P.o. No. tf.,1N314

'fMdretS:DJk it ,1&1, ",1ft ~ $.ubfi. 8rtW~.Ga,...!!l~r~of Sin ~ ~ Monte.luJacen nate: 0d0_ ae.2Q~1

lU'f: 4&2~1i'u924):) Mocte ofPfomnment! .sup....__ .

~U6men;~fumi~tflf$omc,"'~~,"4t"Ihe~_·~Q)~mtff~q.

~ee cf~~efV: Satd! ......... ~i ~jn "()~.o..MOA~'*'Oafeof~trf :M) .~Gay$ upon -eflt PO Payment Tentt 30ctme ~B ttemi!I

StookIPrupmy URlt ~

aun_U"JtC08t Amo1iftt

Ho-.b~.s. NetvlOlt Cab.'e, -UTP. Cat.5e ~o- 3ISOO.OO Q:.OfJO~OO:t1)tS,

Ci.Mt»r _'ted_QSbIeJ (i.OQ().oa ,.....,..

J)C$ ~fiiwork ~~J 11~plug 500 0001 ~ooo..~(!6, .... ,_ ~RJ45 madtJiar,,~ 500 6.00 ItOoo.DO

.

~ li:©li:llW ~~Batangas N ~d:C81 cen~c~-'-l

c OiVllSSIO, I r--ION .AUDlT

t~21 'J<ihr1..61-t REcd:rvED81

t •. -;'~fJ;r~--. -- ..--- ...'2~(Vt?1""'I [ j,

-II.c;:- I

~.-18 -

TOTAl. ,,000.00(rota! Amtwnt inWoldt) FlftyalQltt ttM:NI84mt ,_.. ontr.

{r,~~ OifjiiYttHo maemefuil ~ery_rtiit&_ ~~. a PElIaIly ofmwHen#I ('t/10l of one m ~l for 1••~"ty da~'Of Qet615mvt be tm~aetf on Ute'uMt!i{v&red r.tf)m/s.

. V&ryl1'USyyours. Y._VRAMO~ll MAGNA~O.~~ 2{12l.•~-.. ~ Ceflhlf en"-l; .' V

C~.

- ,S'tP . I ~:~?t~Oat.lt n~b!-,ZA&.~

-=-uNt~ j;~caQ-:e?n~\rn?l~ . OA~RS"'~ •.~ ~~~f~;FW"ids Av&itable: OQtQ ofb ORSfeURS; Mr\\J ~ -9 •?n'1~

CJJ,. ,~~J.l~.\. '-~- ~~ L. ~~ ~Mf.OO:f '/ , . ~~~.~ .~~t\l~CiJ{ I,~

; t: 1..- !" ...•, . , . . ....t-Lr"(5', _.. ~- '"' .. r ~ ~

~-~' ," "." -~~-... , ..

II'... PURCHASE ORDER

P.o. No. 21·10-0313

Gentlemen:Please fumlsh thIS omce the follOwing artiCl8$ subject to the terms and conditions contained herein:. .

Add ..... :

TiN:

BATANGAS MEDICAL CENTERAJATECH ENTERPRISES81k 34101 I Noitfi fa'rwlv·Homes, CItY OfSan Jose Del Monte, aulaean

..

Date: October 21. 2021Mode of Procurement.: IVP--------1

satang .. Medical Center Delivery Term: NO P.O., NO AcceptancePlace Of Delivery:

Date of Delivery:

stock!property

No.

30 Calendar days upon receIpt of pO Payment Term: 30 days upon complete delivery

Descrlptlon Quantity Unit Cost Amount

500 120.00 40,000.0010' 1,200.00 12,000.0010 6,500.00 65,000.00

1 175,000.00 175,000.00

pes. J'lIelwork • 1.0 port.. unlts Networ1< switCh 8 port gigabit

1.-..., units Network switch 24 port gigabit

Unit

unit ~Network switch 48 port, manageable- 48 port gigabit ethemet- .PoE enabled ports

Bata gas Medical tenterCOtvllS310N ON AUDIT

nv R_~~~:DI );·i\e. T'( IIJnrJ~'l)

___ -+!r_l;W~--

ll~@~Jl"Wv

(h~411 z: I/!'...,

(. -it Amount in Words) Three hu(Klred twelve thOullnd pe80I only.In case of failure to make the full delivery within tlie time specffied above, a penalty of one-tenth (1/10) of one (1) percent for

everY day of delay shaH be Imposed on the undelivered item/s.

Very truly yours,

TOTAL 312,000.00

RAMONCifO C. MAGNAVE.MD,FPC8,MHAMedical Center Chief II ,0 4 NC\J2~21

c~: ~~~~_m~~~b_a_n_'Ir:P_o+- _Signature over printed n:f of SupplierOats November 5,2021


--- - ,.;_ ...' '.- PURCHASE ORDER

BAT ANGAS MEDICAL CENTER

Supplier: MARCBURG PHILIPPINES INC. P.O. No. 21-10-0312

Address: Unitab 2/F Symphony Tower 1 #06 Sgt. Esguerra St. Cor. Date: October 28, 202 I

Timog Ave., South Triangle, Quezon City

TIN: 008-633-519-000 Mode of Procurement: PB September 2021



Date 0 f Del ivery: As need arises Payment Term: 30 days upon complete delivery

Stockl ",Property Unit Descri ption Quantity Unit Cost Amount

No.

ONDANSETRON 2MG/ML, 2ML

AMPULE-Otron 2mg/ml, 4ml/2ml sol. For injection.

6,000 145.75 874,500.00Myungmoon Pharmaceutical Co., LTD, Korea, Box1O's ampule

-~ - -_,..-- ...-~-.--

Batanqas ME :i;cal C":!itor - ICC MISSIOi' Qj\J .A.UDIT ,

REeE~ED' ,-

Note: -Please attach the following ifapplicable upon delivery By : . / -

(NO attachment NO acceptance ofdelivery) (.l~i ~.1,-iGJi 1I1t\L/l~il I-

1. Certi ficate of roduct Registration from FDA '1'1111 :, tj_ :1£ ..2. Certificate of G ad Manufacturing practice from FDA -~-3. Batch Release Certificate from FDA -

TOTAL 874,500.00

(Total Amount in Words) Eight hundred seventy-four thousand five hundred pesos only

---- In case of failure to make the full delivery within the time specified above. a penalty of one-tenth (1/10) of one (1) percent for ~

:. l

i

every day of delay shall be imposed on the undelivered itern/s.

Very truly yours,

•(ni~ In· f'k ,fIr-Conforrne: MIC~it:LLE M. rvMt&;'l

RAMONCITO C. MAGNA YE,MD,FPCS,MHAMedical Center Chiefll

Signature over printed name of SupplierD~e November4,2021

Amount:

w IO[lOI-:Z-{iHWf~/O/.zq:.2! !

874,S()O.OO

O,CPA

Date of the ORS/BURS:

Fund Cluster: ORS/BURS No.:

Funds Available:

page III

'( . , '. \ DOH Government Accounting Manual

-, .:» r=-, PURCHASE ORDER r>;, -; ."

~ BATANGAS MEDICAL CENTER

'Supplier: ENDURE MEDICAL INC. P.O. No. 21-10-0310

Address: Unit 17-A Belvedere Tower, San Miguel Avenue, Date: October 26, 2021

Ortigas Center, Pasig City

TIN: 220- 77 4-681-0000 Mode of Procurement: PB September 202 I



Date of Delivery: As need arises Payment Term: 30 days upon complete delivery ·-Stock! ·Property Unit Description Quantity Unit Cost Amount

No.

AMIKACIN 250MG/ML, 2ML

VIALCinmik 2S0mg/mL (SOOmg/2mL) Solution Injection

4,000 33.89 135,560.00(J.M.lJ.V.), Karnataka Antibiotics and PharmaceuticalLTD., India, Clear Glass vial X 2mL

AMPICILLIN-SULBACTAM 750MG

----" Sulbacin SOOmg/2S0mg Powder for Injection (l.V.lI.M.),VIAL Singapore Pharrnawealth Lifesciences, Inc., Philippines, 5,000 17.12 85,600.00

Individually boxed clear glass vial with rubber stopperand Yellow flip-off seal (Box of 10's) · .

- .IOPAMIDOL 612/100 ML - .Pamisol 612mg/mL (equivalent to 300mg Iodine)

VIAL Solution for Injection (IV), Dongkook Pharmaceutical 1,000 1,232.22 1,232,220.00Co., LTD, Korea, USP Type I Clear Glass Vial x 100mL · .with Rubber Stopper and Blue Flip-off Seal (Box of I's)IOPAMlDOL 612/50 MLParnisol 612mglmL (equivalent to 30Q_f!.l_g Iodine) __ .

VIAL Solution for lnjetion ~laa~I,~'I'Ye~¥1 2,500 692.49 1,731,225.00

Co., LTD, Korea U (1 aFlt<ja D Ivwith Rubber Sto pe~ ~I ~lp-o~}seall~x o!ils)

RECEIVEQ SUBTOTAL 3,184,605.00

Ir-<Total Amount in Words) L ~-.J · .By

111 case offailure to make the full deli ~~r)A~ithi R- th •Y 1I1U!-1.I rlJJ.,Q a penalty of one-tenth (1/10) of one (I) percent for .. I • ~F '''1:~ ",

every day of delay shall be imposed on h~ UNdelivet'",-, ;'''''" o ,

Very truly yours,, ~

~RAMONCITO C. MAGNA YE,MD,FPCS,MHA

Medical Center Chief; 5 NOV 2021Conforrne: Febbie Joy P. DavidERgllr:e MeElisallA6.

Signature ~ printed name of SupplierDate v· q '.2ocl:1A ..

Fund Cluster: N ORS/BURS No.:

Funds Available: Date of the ORS/BURS: .-

_@_r

Amount: -CARMI~LO'CPA -aeo I"

Accoun VIOJ~~ ~ page 1/4

~,~~~~~E DOH Government Accounting Manual

- r>. PURCHASE ORDER r---.


Supplier: ENDURE MEDICAL INC. P.O. No. 21-10-0310



TIN: 220- 77 4-681-0000 Mode of Procurement: PB September 2021




Stock! ..Property Unit Description Quantity Unit Cost Amount

No. . .Balance forwarded 3,184,605.00

MEROPENEM 1 GMMepenem 19 Powder for Injection (Iv), Singapore

VIALPharmawealth Lifesciences Inc., Philippines, Type II

10,000 167.73 1,677,300.00Colorless Glass Vial with Aluminum seal and Violet Flip-~ off Cap + LOPE vial x 10mL as Diluent (Box of I vial +

2 diluent)MEROPENEM 500 MGMepenem 500 Powder for Injection (IV), Singapore

VIALPharmawealth Lifesciences Inc., Philippines, Type II

10,000 118.34 1,183,400.00Colorless Glass Vial with Aluminum seal and purple Flip-off Cap + LOPE vial x 10mL as Diluent (Box of I vial +diluent)NOREPINEPHRINE 1MG/ML, 4ML

AMPULENorphed l mg/rnl. Solution for Injection (l.V.), Houns

3,500 164.44 575,540.00Co., LTD, Korea, Type Iamber glass ampoule x 4mL(Box of 1O's) _~ ___ ._ ~\ONDANSETRON 2McaMa~~Medi~.al CenterEmitron 2mg/mL ( ft@'eMl~f~(!Jt~fcAct!)DITAMPULE(IM/IV), Cisen Pha maceutical Co., L~ Chi~~i); 5,000 78.77 393,850.00

Type I clear and co orIess glREQ ~~¥i x ofr>; U~:.,.~ SUB TOTAL 7,014,695.00Bv

(Total Amount in Words) U"'i~e V IJIM/1j):l1In case offailure to make the full deliv rYl Wi'tftin tI:!~. ;+; ,.lJ_:~f., penalty of one-tenth (1/10) of one (I) percent for'V~ ~~v _, ~

every day of delay shall be imposed on th", trmreuvereo Item/s.

Very truly yours, t(V

Feb~DavidRAMONCITO c. MAGNA YE,MD,FPCS,MHA

Medical Center Chief IIConforme: Endu.re Medical Inc. II 5 NOV 2\\11Signature o~rinted name of Supplier

Date . q i .Jn~J-

...und Cluster: a UKS/tlUKS No.:Funds Available: Date of the ORS/BURS:

Ci:' Amount: - ' .r

CARM~LLO,CPA tAco-

Ace nt IV Iopr;p.o 7ZI -LS page 2/4DOH Government Accounting Manual

f .~ PURCHASE ORDER ~-BATANGAS MEDICAL CENTER




TIN: 220-774-681-0000 Mode of Procurement: PB September 2021

Gentlemen:Please furnish this Office the following articles subject to the terms and conditions contained .

Place of Delivery: Batangas Medical Center Delivery Term: NO P.O., NO Acceptance -Date of Delivery: As need arises Payment Term: 30 days upon complete delivery


No.

Balance forwarded 7,014,695.00OXACILLIN 500MGoffer Vial

AMPULEOxapen 500mg Powder for injection (I.M.lI.V.),

10,000 18.79 187,900.00Singapore Pharmawealth Lifesciences, Inc., Philippines,USP Type 1Clear and Colorless glass vial with RubberStopper and Orange Flip-off seal (Box of 10's) .~PARACETAMOL lOMG/ML, lOOMLPara-IV 1Omg/mL Solution for injection (IV Infusion),

VIAL Furen Pharmaceutical Group Co., LTO., China, USP Type 10,000 94.34 943,400.00I clear and colorless glass vial sealed with rubber stopperand silver colored aluminum cap (Box of I's)PHENYTOIN 50MG/ML, 2ML

AMPULELantidin 50mgimL Solution for Injection (IV), hanlim

8,000 74.87 598,960.00Pharmaceutical Co., LTO., Korea, Type I Amber GlassAmpoule x 2 mL (Box of 10's)PIPERACELLIN TAZOBACTAM 2.25 GMOffer Vial

AMPULE Tazopen 2g/250mg Pcy;;StlP fm IlijeetiolTtr"t);:-STng~urc1,,000 64.43 644,300.00

Pharmawealth Lifesci nces Ba~~::.tJspI B~ellI:'Clear and colorless gl ss e(I)M~~(r.~~~Ntr~.W<O Tflip-off seal + 1OmLd

luent (W~~t:~~~~D"".... r-.i!./ ( leo'-' . •& ) SUB TOTAL 9,389,255.00

f- n

(Total Amount in Words)uy

v IlInql cZvc2lPnte

In case of failure to make the full delivery flithllN~he ti-ffi.e.-~t" :c: .J ~I!)_'I'_ a ty of one-tenth (11 10) of one (1) percent for,~ , ~l".every day of delay shall be imposed on the urnrenvereo item/s.

Very truly yours, f/'-. RAMONCITO C. MAGNAYE,MD,FPCS,MHA

Conforme: F~' DavidMedical Center Chief II

11 5 NOV 2021F ~¥m~ltal 'ncoSignature ove ~ ename of Supplier -Date N ~ G\ I..:z:v.:u\

Fund Cluster: UI ORS/BURS No.:Funds Available: Date of the ORS/BURS:

U <,Amount: -

CARM[~'CPA tJ.WAccou IV I{JJ~~

~ page 3/4DOH Government Accounting Manual

- . ~ PURCHASE ORDER ~,.

, BATANGAS MEDICAL CENTER~


Address: Unit l7-A Belvedere Tower, San Miguel Avenue, Date: October 26, 2021


TIN: 220- 774-681-0000 Mode of Procurement: PB September 2021

Gentlemen:Please furnish this Office the following articles subject to the terms and conditions contained



, Stock!Property Unit Description Quantity Unit Cost Amount

No.

Balance forwarded 9,389,255.00

PROPOFOL 10 MG/ML 20 MLDiprifol 1OmglmL (1% w/v) Emulsion for Injection,

AMPULE Dongkook Pharmaceutical Co., LTD., Korea, Type I Clear 5,000 48.44 242,200.00 ~Glass Ampoule x 20mL; 5 ampoules placed in a plastictray (Box of 5's)

~ VANCOMYCIN 500MGGeneric 500mg Powder for Injection (l.V.), Yooyoung

, VIAL Pharmaceutical Co., LTD., Korea, USP Type I 8,500 124.34 1,056,890.00Borosilicate Glass Vial (box of 10's) wi rubber stopperand blue flip off seal

Batangas M~dic;center :l( OI\l1ISSIO N 0i\j AUDIT

Note: REef~~VEDPlease attach the following if applicable upon delivery B .c» " •I'f .1---

(NO attachment NO acceptance of delivery) { r. i~~ _ U ll,rMI $),v1. Certificate of Product Registration from FDA '11 Il~ }:ol/..--. . -

;2. Certificate of Good Manufacturing practice from FDA

:'. 3. Batch Release Certificate from FDA, ...---....

GRAND TOTAL 10,688,345.00

(Total Amount in Words) Ten million six hundred eighty-eight thousand three hundred forty-five pesos only

In case of failure to make the full delivery within the time specified above, a penalty of one-tenth (1/1 0) of one (1) percent forevery day of delay shall be imposed on the undelivered item/so

Very truly yours, rv ~

F~.David

RAMONCITO c. MAGNAYE,MD,FPCS,MHAMedical Center Chief II

Conforme: Endum Medical Inc -=-() 5 NOV lU21Signature over printed name of Supplier

Date tJov· q llP~A-.Fund Cluster: VI ORS/BURS No.:Funds Available: o2iRr:t ~OD Date of the ORS/BURS:

'ei:: Amount: 10,688,345.00

CARM[~O,CPA aep (ACCOU rt()J~~~ ~ page 4/4

DOH Government Accounting Manualh)',(Y~

:.~. , / ....

,.L.

" •.

_"J PURCHASE ORDER -.I

BATANGAS MEDICAL CENTERIsupplier: SHOOTING STAR TRADING P.o. No. 21-10-0309

· AddreIs: # 1,Dou@S Fir St.t Greenwoods, Pallecan Eas~ Date: October 26, 2021'aatanm'Ci~

[TIN: 188-243-219-000 Mede ofPtocaremeat: PB June 2021..

OerJtfemen:p~ fUrnish this Office the fonowingattic:les subject to the terms and ~tions contained bercrin:

!Place of Delivery: Ba!Up! Medic:al Ceater Delivery Tent\: 1m P,O.•~ Accep!ance

iD.ate of Oe1iyery: As 'Need Arises Pa:ymentTenn: 30 dal! upon to!!!Elet'e delivery

Srock!Property Unit Description Quantity Unit Cost Amount

No.BURETTE SET, SAFETY VOLUMBTRIC SlIT

PIECE WITH IS MrcRONFIL;rlUll~ML CAPACITY 3,000 120.00 360.000.00AND NON' PHTHALATE TUBINGS, 110SlCASE.MBDICPRO. MBDIC,.;PRO CORP., KOREA

~ ORAUNASAL 1tJBB ADULT. SIZB: 8-0,~EJr':"'al cer~\CUFFED A..l>oID UNCUFFED TaACBE.AL TUBE, Batangas ... 11"....... ...

PIECE tsT£RILB, ORAU NASAL lNTUBATION. SINGLE SO' ~~OM.&tSI~PI'I ON ~~ITUSE. MEDICAL Gl\ADE SILICON MAl'BIUAL; • .00

l8-3OCM. MALUNCKRODT, CURlTY. REt~E.DCOVIDIBN, COVlDlBN PVT LTIl, USAav :~

I

1/

ORAIlNASAL TUBE ADULT. SIZE: 6, CUFFED t'~'1i}ii[~i[I.l;:;\A .AND UNCUFFED TRACHEAL TUBE, STBRILE, '"n8 _j~ -.-ORAU NASAL lNlUBATION, SlNGLE USE, -.

PIECE MEDICAL GRADE salOON MA.ttlUAL, SO '7".\IV 9,700.00LENGTH: 24CM, 10SlB0X', MALLlNCKRODT.CURlTY. COVIDlEN, COVlDlliN PVT LTD, USA

SUBTOTAL 379,400.00

(Total Amount in Word5) .

· Incase of fai.1Ufe to make the full defivery within the time specified.abovo, ~·penalty or one.-tenth (tIl o.} of one (1) percent fbi'every day of delay shaD be imposed on the undelivered itemls.

. V«y truly yours, VV( ItAMONCITOCMAGNA~f'~~ ,d, AhhM Medical Center Chiefn 04- NOV 2021~rrct-[eonfonae:

s~i\jo~-P of Supplier:fJ

Fund Clu$ter; g OIUYaURS No.:FUnds Available: ~~'dut 0RSI.Dtm.$:

· r;;,!?~ c::"., "'7~ ~ WI?~.lIllN ..ll..\~,,'; ; ..", ,'. ..:nA. I1Ii Wr1..u"~,,,~,,,~ ';.t ... '. C IV 'l:PA i.~ ~ 1{ I \~,Int orT ~ r. mt i[\S ~ jU,j.~~ -. , P4R" 1(S

J'. ~"1~ ~I

:~~'--::-"-'=':--_.--'-DOH Government Accounting MamJal

L . ,&'©~'I~WIU ........ _--~ Nilv 5 2021u!a

I

... . PURCHASE ORDER '-"

BATANGAS ~EDICAL' CEl'iTER

!suPPlier: SBOOTINGSTAR TRADING' P.o. No. 21-10-0309AcidJ'_: 1# 1 Qouslas Fir St.zGreenwoods. Pallocan Eas!z Daw. .October 26z 2021

. &tan&!!s Ci!):.TIN: 188-243-219-000 Mode of Prooare .. eut: PB June 2021

Gentlemen:.

P1e8se funtisb this Offiec,~ foUowina artides subject to the terms and emditions contained herein:Place ofDelivoty: 'BaWl Medical Center Delivety Term: gP.O.,® A~eptanc!I!!Date o!DllJivery: As Need Arises Payment Term: 30 dayt UPCJn complttO delivery

Stock!. Propert)l Unit Dtscription Quantity Unit Cost Amount

No.BtrItIIICetI FOI'WIInIItI 379,400.00

ORAUNASAL TUBE ADULT, SIZE: 5.5,CUPFEJ) .A\NDUNCUFFEJ> TRACHEAL ,TUB£.

PIECE STER11.:e.01lAIJNASAL tNruBATION. SINGLE SO 194.00 9,700.00USE, MEDICAL GRADE SILICO}ll MATEIUAL.caNOTB: 23CM, 10S1B0X. ~CkJlODTt... CURlTY. COVIDIEN. COVlDlEN PVt' LTD. USA

ORAl) NASAL TUBB ADULT. S1ZB: 6.5.CUFFED AND UNCUPFfID TllACHEAL TUBE, --~---

PIECE. :STERlLE.ORAU NASAL INTllBATIml. SINGLE 00 E at~M clical C!Ji9',i400.00IUSE. MlIDICAL {iRAt)E SILICON MA1'etuAL.LENGTH: 2SCM, 10SIBOX. CURlTY. COVlDlBN, C( ~/lISSIGI'. 0:\] ALJC)ITCOVIDtEN PVT LTD, USA Rt:.C~'~~!E~ORALINASAL TUBE ADULT. SIZE: 7. CUFFED

~AND UNCUFJi'IID TRACJIEAL TUBE, STmW...E. By :_ '( Ieam l;lelliber

. PIECE OaALlNASAL lNTUBA'nON, StNOLE USE, ~1oQ);;i~I! '19 .IIJQ5J.2)l2/~MEDICAL GRADE Sll.JCON MATERIAL. .-..y fJ..'IJtr'· _1 "1 t-:!LENGTH: 28CM. lOSIBOX. MALLINCKRODT.CllRITY, COVtDlEN. COVIDIEN OVT LTD, USA

S1JBTOTAL S05,!OO.OO(Total AmoWJt iD Words)

. In .C8Se of Mute to make the mu detiv=y within the time s.;eowed above,. a penalty of one-tenth ( 1/1 0) of one (1) percent for

'_doyo£~_bo~~~ayawy_ rBAMONgTO C. MAGNAft,MIJ.

Dmforme:~ 1l ~ Modicalc.-a.mH ~li

SisnaUo: lTI~ name of Supplier

Fund Cluster; Ot !oRSIBURS No.:Funds Availabl .. , Date of the ORSIBURS:

~Abt:o Amount:

1t/2JI18WjJDp2l'

r>

-..l

,_, PURCHASE ORDERBATANGAS MEDICAL CENTER

S.ppUer. SB()()TING STAR TRADING P.O. No. 2J-t()'()309

iAddreu: #1 Douglas Fir St.. Greenwoods, Pall6can East. Date: October 26.2021BataneCicy

:TIN: 188-243-279-000 ModeofProeuremeaC: PB June 2021

Gentlemen:Please :fumi$h this Office the -"'_.. ,atticle$ subject to the tomlJ and ~ons contained herein:

~laee orDelivery~ Ba~ Medial ee.ter Delivery term: ao P,o.•IQ~Qe

Pate of Delivery: As Need Arises Payment Term: 30 days ~ complete delivery

Stock!Property' Unit

No.Quantity Unit Cost

ORAUNASAL TUBE ADULT. SIZE: 7.5.CtfFFi!D A.~ UNCU.FFED TRACHEAL TI.iliE.ST'ERltA 0RAlI NASAL INnlBATION. SlNGLB

PIECE USE. MEDICAL OllAD£SILiCON MA'I'ElUAL.'LENGTH: 28CM. IOSI80X. MALLlNCnODT.CURITY, COVlDIEN) COVIDIEN ovr LTD, USA

155.200.00194.00

O'RAlJ NASAL TUBE PEDIA. SIZE: 2.5. CUFFEDAND UNCUFFEO TItACREAL TUBE. STBR.ILB,

Prr:oCE ORAUNASALJNroBATION, SINGLE USE, SO In" I\n 2' 700 00Ie MEDlCALGRADESILICONMATERlAL, 'r-- ........· :;,:;.7't-.,.;;.;.;\IV t---- .,!.

LENGTH: 12CM. lOSIBOX.MALLlNCKRODT, Batangas ~E1r:J:Gal CenterCURlTY.COVlDIEN,COVIDIENOVTLTD,USA ( OiViISSI(DN ON ,l\UDITORAL! NASAL TUBE PBDlA,. SlZE~3, CUFFBD ey ~.f" ~ iV E D

. AND UNCT.lFJIBD TRACHEAL TUBE. ST.ElULE,. r~-. ~ v.....ORAL/NASAL IN1UBAUON. SINGLE USE. Rds.w \ I

PIECE MEDICALGRADBSlLlCONMATERIAL. SO EV '194~f(MiitTp1m \(L~n~

LENGTH: 13CM.10SlBOX.MALLlNCKllODT. I ;i~"! ,t ~CURIlY. covmmN, COVJDIEN OVT LTD. USA -j t 11G ' J ~- ..~ t-----~----~--------~----------~---L--~~__~~~----------_ij

SUBTOTAL 680,100.00(Total AmOWlt in Words)

In'CiH ot'tai1ure to make the full delivery within the time specmed above. a. penalty of one-tenth (lIt 0) of one (1) percent foreveryday of delay shall Mr' ~n the ~liVered. 1temIs..

Very truly)lOU1l. Y'-OJ..• .A1 llAMONCITO C. MAGNAYE,MD,l'PCs,MIIAJ~ ...~~ ~ Medical CentcrChieffi a 4 NOV 2021

Sipture o,r t;ri.,....., of SupplierDate \\ o~H- ,

Fund Cluster! ....Q _Funds AvaU.oto:

~.RSID1J1lS No"!Date of1bo ORSIBURS:Amount:

DOH <iowmmentAccounting Manual

i

._ PURCHASE ORDERBATANGAS M£l)ICAL CENTER

SHOOUN(j STAR TRADINGAddress: #1 Douglas Fir St, GreenWoodl, PaUocan East,

BatangaS City188..'243-279-000

P..o~No. 21-10-0309Date: October 26. 202"

Modeof~: PBJune202l

Gentlemen:Please ~ ~ Office ~ f()}lowingartidlsS1ll?ject to the teans IIId eoaditiQl\S~ honrin:

I>Jaceof Delivery:

Da~Qf~ltV~

BatupS Medical cater

As. N®d ArisetDelivery TenD: l$lP.O ..®A(l~PaymentTeim; 303! upon complete deiive!X

StockIPropaty Unit

No.Description Quantity Unit Cost Amount

ORAL! NASAL TUBE PEDIA. SIZE: 3..5, CU.FFEDAND t1NCUFFED TRACHEAL rosa, Sl'BlULE.

PIECE ORALI NASAL nmJBATION. SINGLE USE, SOMEDICAL GItADB SILICON MATERIAL..

.. LENGTH: 16CM. IOSIBOX, MALLlNCK.RODT.CURlTY. COVIDIBN. COVIDJEN OVT LTD, USA

SURGICAL TAPE I" X 10 YAlID, NON STERILE.HYPOALLEkGENIC WATERPROOF, LATEX

PIECE FREE, 12 PIECES PER BOX. MICROPORE 3M,3M HEALTHCARE, USA

GLUTARALDEHYDE. SOumON, S'l"ElULE. 14AND 2S DAY VARJ.ElY (2.5 ~ 3.4%). HIGH

GAlLON LEVEL DISINFECfANT. ST£RILlZ1NG ANDDISINFECTING SOLUTION WITHACTIVA nON," OAU BOX. METlUCIDE,.ME1'R8X lU!SBARCH LLC. USA

680,100.00

194.00 9,700.00.

(Total Aoiotmt in Words)

15,0<[0 Ba1~as tv1ecJicc1~~MO 1. (~OMISSHPN ON AUDIT

RlEl':EIVEDE' . Ros: lie t)~';"

SO l ;i:~·3?4:007. "/ fllmi~aJw'11118 J:~ _

SUBTOTAL 1~"39S.00

In. C~ of faiIure<to l1lJlb the futt delivery within the time specified above. a penalty of one-tenth (lit 0) of one (l) percent forevery day of delay shall be.' sed on the undelivered itemls.

Very ttuty~ rvUMONcrI'O C. MAGNA VE,MD,FPCS,M'HA

Medical Center Chiefl{) 4· riOV 'i;l,: I,,-,,-"

[Fund Cluatcr: 0'}:,unds Avail.ble,

ORSIBUllS No.:fna!eOftbe OKSIBUK.S:Amount:

, . ~

..... PURCHASE ORDE'R -:»BATANGAS MEDICAL CENTER

Supplier: SHOOTING STAR TRADING P.O. No. _ .71:,,10 ..0309AddreII: # t :Dou~$ Fir St.z Greenwoods! Pallocan Eastt Date: October 26~2021

Batangas Ci!l' .11N: 188-243-279-000 Mode of PHetlremeat: PBJune2021

Gentlemen:Please.furnish thi$ Oftiee the followiJl8 trtieles subje« to the tcnnS att4 conditions COMlined herein;

Place of Delivery; Data .... Medial CeII"r Delivery Tenn: ~P.O·&IW~

bate of OetivetY- AsN~Arises Payment Term: 30!!!n upon compI.ete-de1iv!!l

Stock!Property Unit Description Quantity Unit Cost AmQunt

No.BtIltntmI FonwutJgd 1,558,395.00

GROUNDING El...ECTROBDGE BUTIONSWITCH SUllOlCAL HANDPiECE. BLADE

PIECE BL£CT'ROllE HOLESTBR. STBRIl.R, FLATI 3.500 840.00 2,940,000.00POINTBD UP, PENClL L~GTH: lO'. SOSIBOx.3M VALLlYLAB. COVIDIEN PVT LTD, USA..

PIECE fMEDlCINE CUP 30M[.. CALIBRATBD GLASS 100 14.00 7,400.00MA TBR.lAL,.TRANSPARENT, LOCAL

1Batangas MerJical Center

Ndlfl:(~ONiISSI( ) j\l 0 ~J ,C\. UQ!T

PIcese attacb 1be tOllow:iP!.if appIicabk upon deIi\'UY REC ~ED'(NO attoclUMnt NO IICefIpt(llf« of tk/i:vel')!) K~_ p.) l j-

I. CcrtifJCafOofProdIlCt bgi__ fioam fl>A B' . SAl, U it kim Membpr -2.Certiftcalo otOood MIII~ pnctic&&om FDA I ;i~(! IJ/~/~/-;3. BIIicIt JteIeue~1iaIII FDA '1 .fI1e ,

I;~

-..v.·....;u "t,~~/7.,.VV.

(Total Amount in Words) FOIl' IitiIlioIl jive 1ul1l4r«1./iN tItoIu4tuIleven lflltulred IIiIIny jive pesos gllly....- .

Incase offailure to make the full delivery within the time specified ab~ a penalty of one-tenth (1/10) of one (1) percent fotevezy day of delay shall be Un on the undelivered-itamls;

. VFi trWyyours. f/'V

~tArrV#JlAMONCITO C. ,MAGNAn:,MD.FPCS,MDA

t\~ -1Medieal Centef Chief II

Conforme: '04 NOV20LlSisna;:o\\ name of Supplier\\)'S~"21

~..-..... - , -

FundCluster: (J ORSIBURS No.:~unds. Available: lsu-a,~m IOU: of'the ORSfBURS:

CARMINA~O'CPA

[Amount: 4.565.195.00

~~/~ paJJ" .f,fS

DOH tJovemment Accounttng Manual

P.O.No~ 2t-l()..Q307

Date: October~,.2021

Mode·

to the terms and conditions h«ein:

As- Need Arises Payment Ttttn: 30 day! '!Pon conwiete deliv~

Description Quantity Unit CostProperty Unit Amount

WOIDONO/~TION 17~3.:00:0~ __ ~5.~lO~_~~_~~~i·OOSMALL (l00'S). NON STERU.a

DURABLE LATEX MATERIAL."' .................:ifI,''''~"·''''·0 fINE· LATEX

'-ILU " ....~ lOO.PCS!BOX /MULTlSAFESDNBHD I ASAP

(Total Amount inWords) 'One mUlio'n thirty four fllousand five hundred eighty pesos only

Incase ofta~ to make: tb~thn deliy.eJ)"wifhinthe timo specified above. a ~naIty .of one-tenth (1110) of one (I) wcer)t forof delaji obaI1beimposod on the undelivered iIemIs. y1rV"'l'::~ClIfA~~"'l'CS,MIIA

. Medical Center ChiefllPrincess, P.Logo 10/25/2021 I[ 5 OCT 201.1Signature QV~ printed name efSupplier -

Date

Cluster:Funds Available:

~...,,,-

.. , .

.00

------------------------!~--~~~~~~--~~~~~--------------------------PURCHASE ORDERBATANGAS MEDICAl ..CENTER

. Sppplier. ASSURANCE CONTROLS· TECHNOLOOffiS CO. JNC. P.O. No.Address: Unit 171.0Annapolis wilshit;e Plaza. NQ.1} Annapolis St. . 'Date:

G'"@enhllls, SiUi Juan City 1502TIN: 206-133-3&2:.00Q Mode.of Procurement;

2i-l(),,030622 October, .2021

.D1R.ECTCONTRACTING

Gentlemen:Please furnish this Office the following articles subject to the terms and conditions: contained herein:

, Place of Delivery: BlJtangas Media.. Center Delivery Term: NO P.Q.>NQ A~c~ptIJ.nceDate of Delivery; AS NEED ARISES Payment Term: 30 days upon complete delivery

Stock!Property Unit

No

BRANDMaccura Biotechnology .SARS-Co V-2

Flourescent peR, MagBind Extraction andVTM.~with OPS and NPS

Amount

J test

Description Quantity Unit Cost

14,00Q,OOO.00C()VlI)...19 PCR Detection KIt, with RNAVinJR F.draction Kit and SWRhhin". kiflil

20,000 700.00

Note:Pieese attech thtl following if eppktbl&, upon dellVMy( N!l "Uechment 1!9. ~oIdeIMwy)

,. CMfficete of ProdUct Regi4tratlon ftom FDA

2. Ctlttlflcate of GQOdManufacturlng practice from FDA3. Batch Releas& Certificate from FDA

TOTAL 14,000,000.00

Incase pffailure to make the full. delivery within th.e time specified above. a penalty of one-tenth (litO) of one (1) percent for .Very truly yours, ~

RAMONCITO C. MAGNA YE,MD,FPCS,MBAMedica] Center Chief n

29 OCT 2021

Fund Clustlr:Funds Available:

14,000.000.00~ILLO,cpA -aca

Accountant IV ,..;!~~1~ I\\IMtI """"'1(11Jfl'a4

ORSIBURSNo.:Date of the ORSIBURS:

Amount:

Government Accormllng ManualPage J ofl

, ,- ~-.

ff' PURCHASE ORDER /" ......

BATANGAS MEDICAL CENTER-Supplier: DYNASTY PHARMACEUTICALS P.O. No. 21-10-0305

Address: 2432 Legarda St., Sampaloc, 042 Date: October 21, 2021

Bgy. 412, Manila

TIN: 100-677-764-000 Mode of Procurement: NP-EC

:::1entlemen: ..


:>lace of Delivery: Batangas Medical Center Delivery Term: NO P.O., NO Acceptance10 calendar days upon receipt of

)ate of Delivery: P.O. Payment Term: 30 days upon complete delivery


No.

TABLETBARICITINIB 4MG 3,038 990.00 3,007,620.00-Baricinix 4

r=>. -

l~.~~~~~~ ._-- -_.-. -Batanqa ; $j~)';'·::.~I\~er )~~'r i

I ' .

~OiVliSS ON (_,;$ i\l DIT

By:-9I

W--- R~~"""1E~1\ P""~- _, --.J~ \l'y~"" ' I). ,~,,,,,,,, 1& •• -m'4' r'("'" [ y n.-L,'

f'tvr/Y) ~Note: ! I; i~(! . ·UJnT.2frl so[JJ --Please attach the following if applicable upon delivery 11118 -, _f'J ;~C:j -..(NO attachment NO acceptance of delivery) -1. Certificate of Product Registration from FDA -

2. Certificate of Good Manufacturing practice from FDA -~

3. Batch Release Certificate from FDA -- TOTAL 3,007,620.00

(Total Amount in Words) Three million seven thousand six hundred twenty pesos only

In case of failure to make the full delivery within the time specified above, a penalty of one-tenth (1110) of one (I) percent for

very day of delay shall be imposed on the undelivered item/soVery truly yours, VV


CAi,~rcr.~A Medical Center Chiefll

=onforme: 2 7 OCT 2021Signature over printed name of Supplier - "

Date L1) f U J "2x» ~,• Q;(_v~IIO( J:2{v/O-OOO/<R'und Cluster: 01 ORS/BURS No.:

-unds Available: ~?nr-J [Q,2f11 ~ Date of the ORS/BURS: DL;u-Z~ .Amount: 3,007,620.00

CARMINA C. ~O'CPA-a[dl

~Accou tant fO/'J.Olj 10~IDOH Government Accounting Manua

i

/

./ .i,. ... PURCHASE ORDER

BATANGAS ~IEDICU CENTERs.~ PATIENTCARECORPORATION , ,.0. il!o... : 21·H)'())04

21 <St~ 202.1 .AtIdima: 'Anlh$ooa~. ~ur ~l~ DoIiIm

.. 'Ditta,

San FemMdo,:~1000 !lll/Pe BLUeT

TIN: r.lode.of fro(vrem~t:· 'cQNTAACTING

Genllemel'PICMe i\lm1Sh dUll Qffioe IiHI follow!ng ~es subject 10 lite tenns and c:o!ldlll!mS IlOI1llllJl«l hen:1R

PllICeof~b\lery BaiaDe! Medlc:aJ CtDW' 0eIm:ry Term N't)PO.NOA~Dune Debvcty' 10caIeNIat ~ ~ I'e<leil!! of PO Pwym.enI Term 10 days UIlOO commIe ~h\.v

S1i1CtlPtol*",Y Untl Descnptloo QuanUI}' Unit Cost Amount

No.J box CD4 CATRJDGIt KITS 4 98.00000 J~2.000,00

Brand,J'ACSi:'R/~70 N.f;A(iliNi CARTHJ1JGt:

content: bat of J 00

.. ....~.-----.-r

\ ~atangas ~''iecJical C(~nt r

C PNllSSIC ;"'1ON AU[ IT

RlEC E~\I1ED- By : C£.tk.· _......_.r"""u.~"~ upottdtlwly

___ o.r- )J J In)] 1!JA>.:l/tt2 _!Q __ fJltI<ihwy) ! 1;' I r,,. -

}:,?,{1.~<!l_~fn>mFDA 'j II ll';2 ~"GotkI~~_FOA

-~-.-- -.:1 ___ c.tIIiIMII._ FDA --"" ,.

TOTAL 391,000.00(Tof4I AmowIt In Wordsl ITilfU Hundred NltrdY-two Tltoumlld Pesos OnJy

In cue of fJultll'e to make the full dehvery willull the lime specified above. a penalty uf OI1e-ICllth {III O}0( one (I) pc!fCelll forVery truly yours, J-v"

~S1'~~r

RAMONCITO C MACNA l'E,MD.Fl'CS,MllA

Confutme j<.f s. '_,.~p__ GtlWClMli

28 OCT2011S~'(j'Cf pruUcd name at Supplu:r

Date 1I1cn./~1FIWlCI_ It ORS/BURS No •

~~Funds A\'a)lable- ._IR£b· Dale of1be ORSfBtJRS"~.:i

"'''''''''' ~.crA

Amoullt .)9YlOOOO

~t? ('

~(illfJr~ .....A-t...-

11

DOH ~"f1tIcnJ AIX'O""I/"K A:4mualPagt I of}

~~©~d:1W=: ~; 2021 '

BY:·i#-··~f 1. l{~rf\\

-,PURCHASE ORDER

BATANGAS MEDICAL CENTERSupplier: PATIENT CARE CORPORATION P.O. No. 21-10-0304Address: Amhsco Bldg., MacArthur Highway, Dolores Date: 21 October, 2021

San Fernando, Pampanga, 2000 Philippines DIRECTTIN: Mode oCProcurement: CONTRACTING




No.1 box CD4 CATRIDGE KITS 4 98,000.00 392,000.00

Brand:FACSPRESTO R}':A.G~'NT CARTRiDGE

content: box of 100

1 Note:

Please attach the following if applicable, upon delivery





TOTAL 392,000.00(Total Amount inWords) IThree Hundred Ninety-two Thousand Pesos Only

In case offailure to make the full delivery within the time specified above, a penalty of one-tenth (1/10) of one (1) percent forVery truly yours, yv

RAMONCITO C. MAGNAYE,MD,FPCS1~MeditalCeOO:rChiefil£ 8 OCT 0 I.

Conforme:Signature over printed name of Supplier

DateFund Cluster: {)( ORSIBURS No.: aJ-lt2f:.l°lftIO-ca:o pFunds Available: ,3R,OCV{x) Date of the ORSIBURS: Ij)~~

Amount: 392>000.00

CARMIN~LO'CPAJO/~~"<II"J_j

(

coun ~

DOH Government Accounting ManualPage 1ofl

PURCHASE ORDER.')

BATANGAS MEDICAL CENTER:;:;-

.' .Supplier: MEDILINES DISTRIBUTOR INC. P.O. No. 21-10-0303

Address: No.7 Pioneer St. Cor. Sheridan 1550, Date: October 21, 2021

Mandaluyong City

TIN: 219-075-614-00 Mode of Procurement: SVP


Place of Del ivery: Batangas Medical Center Delivery Term: NO P.O., NO Acceptance

Date of Delivery: 10 calendar days upon receipt of PO Payment Term: 30 days upon complete delivery

Stock!Property Unit Descri ption Quantity Unit Cost Amount

No.

LOW FLUX DIALYZER 18

PIECEBrand: B. Braun

500 1,350.00 675,000.00DIACAP, Germany. 1.8m2,Polysulfone,Polycarbonate, Polyurethane, Gamma . ,

LOW FLUX DIALYZER 15s-=>; Brand: B. Braun . ,

PIECE D1ACAP, Germany, 1.5m2, 200 1,150.00 230,000.00Polysulfone.Polycarbonate, Polyurethane, Gamma .

---'-'-'_._.-'1

Batangas ~lec::':",1 CS'\i,"r INote: (~OMISSIC N 0[\1 AUDITPlease attach the following if applicable upon delivery RrEC EPJE~(NO attachment NO acceptance of delivery) '-CI. Certificate of Product Registration from FDA B~ ~---I "2. Certificate of Good Manufacturing practice from FDA LJ ite

'1:J.))ol!_ ,

1118 JD. :Ol=-· I3. Batch Release Certificate from FDA

TOTAL 905,000.00

(Total Amount in Words) Nine hundred five thousand pesos only

I rl case of failure to make the full delivery within the time specified above. a penalty of one-tenth (I I l 0) of one (I) percent forcry day of delay shall be imposed on the ndelivered item/so

Very truly yours, '\_,

Conforme: _D_A_€c.;:,.IE"",~:-C-=.,...~__LU_E_T_A _

Signature over printed name of SupplierDate OCTOBER28, 2021

~/RAMONCITO C. MAGNA YE,MD,FPCS,MHA

Medical Center Chief II 2 7 OCT 2021

Fund Cluster:

Funds Available:

ORS/BURS No.: {;Q~10I/O, UI-IO~

JIJi¥/~Date of the ORS/BURS:Amount:

I!I

.• \ . page Ii I ~~----------------------------------------~~--~~--~~~------------~------~~+.DOH Government Accounting Manual

905,000.00

~"'". 'r+: -- PURCHASE ORDER, y

.~-- BATANGAS MEDICAL CENTER~plierl MTC"()PTO MEDIC INC. P~O.No. 2HO-0302Ad~~8: 631 Ronquillo Street, Quiapo, Manila Date: 21 October, 2021

Metro ManilaTIN: OO(}~084-599-0QP Mode of Procurement: Pl3AUG2021

Gentlemen:Please furnish this Office the following articles subject to the terms and conditions contained herein: .

Place of Delivery: . Batan&as Medical Center Delivery Term: NO P~O" NO AcceptanceDate of Delivery: 60 calendar daYs upon receipt of P.O. Payment Term: 30 days upon complete delivery


No.J sets Slit Lamp with Tonometer and Camera 2 695-,000.00 1,390,000.00

Brand: HUVI1Z(Technical Speficifications attached)

2 set Auto-refractometer with Keratometer I 380,000.00 380,000.00Brand: HeIVITZ

(Technical Speftcifications attached)

3 unit Applanation Tonometer 1 65,000.00 65,000.00Brand: KEELER

(Technical Spefictfications attached)

4 unit Refracting lenses and Tria! Frame 1 38,OOO.O(}' 38,000.00Brand: CANTON

(Technical Spejkijicalions attached) Bata gas MeCnCiiiil Cent~r \COMl ~SION ON f!.Wq!T

5 unit Prisms lR ~EC~I~ • 1~l~ .I ,500.00Brand: CANTON ~~-~(Technical Speftctfications attached) ~y SAil . , .ea" .11

I1;'1',,, . 1I/0[J JJ)5 ~J(please see next page) '11111e ~:"

SUBTOTAL 1,902,500.00(Total Amount in Words)In case of failure to make the full delivery within the time specified above, a penalty of one-tenth (1/1 0) of one (l) percent for

Very truly yours,

~

~.

RAMONCITO C. MAGNAYE,MD,FPCS,MBAMedical Center Chief n ,2 7 OCT 2021

Conforme: ct~ f. Bo){:~SSignature over printed name of Supplier

Date Odt.llDtr 2J;t ?n'l.lFund Cluster: 01 ORS/BUKS No.: u,. PIIQI- 2.o2!-IO-WQ03Funds'Available:

~LO'CPA

Dale of the ORSIBURS: ~ lx-IllAmount:

tr1~1'Jtm ~tant IV

DOH Government Accounting ManualPage J of2

,

PURCHASE ORDER ,~

BATANGAS MEDICAL CENTERSupplier: MTC-OPTO MEDIC INC. P.O. No. 21·}O·0302Address: 631 Ron9.wllo Street, Quiapo, Manila Date: 21 October, 2021

Metro ManilaTIN: 000·084-599.000 Mode of Procurement: PBAUG2021

Gentlemen:Please fumi__sh this Office the foIIowing articles subject to the terms and conditions contained herein:

Place of Delivery: Batangas Medical Center Delivery Term: NO P.O., NO AcceptanceDate of Delivery: 60 calendar da~su~n rece!Et of P.O. Payment Term: 30 days upon complete delivery


No.(BALANCE FORWARDED) 1.902.500.00

6 unit Indirect Opbthalmoscope 1 215,000.00 215,000.00Brand: KEELER (VANTAGE PLUS)(Technical Speficifications attached)

-7 unit B--Sca.n Ultrasonography Machine 1 1,200,000.00 1,200,000.00

Brand: ACCUTOME (By KEELER)(Technical Spefictfications attached)

unit OR Table 1 450,000.00 450,000.00Brand: TECHARTMED

(Technical Speftctficattons attached)

Batanqas Med le.1 Centeor~OMISSION )N AUDIT

Note;

R~~.

Please ettsch tI1t1 following If BfJp/ic8b/e. UPOh delivery VED( tlQ attachment !iQ accept~lnc.of delivery) 8

Ro"' r~ .. - 1: I, "

1. Certificate of Product Registration from FDA I) It~ . ~_- ~11fnl,.if" ,Ie, ,J "

r/:lV-l!r": 2. Certificate of Good Manufscluring prsctice from FDA 'j I lie . J:Jr-3. Batch Release Certificate from FDA

TOTAL 3,767,500.00(Total Amount in Words) Three Million Seven Hundred Sity-sevenThousand Five Hundred Pesos onzyIn case offailureto make the fun delivery within the time specified above, a penalty of one-tenth (1/10) of one (1) percent

Very truly yours, t--vRAMONCITO C. MAGNA YE'MD,FPCS~2021

~t:.~)(~Medical Center Chief 1I 2 7 CT

Conforme:Sisnah,re over printed name of Supplier

Date "" L,t ...., ~ '1o'VIFund Cluster: 01 ORS/BURS No.: Ob~ Ibflg ~b'·~.eoco=.Funds Available: ~ ja(i3, ron·U') Date of the ORSIBURS: ol~

tAcoAmount: 3,767,500.00

CABMJN~'CPAuntant {O/"JJ/?d1J ,

~

DOH Government Accounting ManualPage 20/2


TECHNICAL SPECIFJCATlONSSUPPLY AN.D DEUVERY OF VARIOUS MEDICAL EQUIPMENT SET 2

·IB2021-tl118


TE<;HNICAL OEseR.PIION TECH~tCAb DES&ftIPTfON

Spedt'kation as Tec:hnical Offer SpUitkattOIl as Tecbnical Ofl't"rJlID"ER'S


2 UNITSstlt lamp biomicroscope with~era~8C! PHP2,00/000.00

COMPLYrTEM 9; 2 UNnS SHt lamp biomicroscope withcam$ra

I ~; PH" ~,OO,OOO.OOcoMpLY

Ophthafmic diagnostic instruments deSigned forexamining the eye (mostly the anoorfor part of

Ophthalmic diagnostic Instruments designed fot examining tlle eve he eye} using an illumination system combined(mostlv the anterior part of the eye) uslf'lgal'1l11uminationsystem ~ a binocular mlcroscepe. The instrumentscombtned With a binocular mtcrosccpe. The instruments usually ~ually consistof illumination sources with aconsistof lIluminatlon sources with a.I'nflcilanlsm that provides 8 sIft rm:chanism that prolirdes Oil sift beam of light Intobeam of light Into the eye with different types of illumination (e.g., .!th~eye with different types of illuminatIon (e.g.,direct or indirect, focal or diffuse, background illumination), a ~irect or indirect, focal or diffuse, backgroundbfnocuial' microscope for liiewtng the magnified sift {mage, and a IUlumillatJon},8binocular micro!cope for viewingcontrol eomponent for a:dJustlllS me focus l)f the ml~scope and the ~ mae~ifled sfit Image, and a c;ontrolslit (e.g., slit rotiltlon, slit width); some also have. refract.fon-mlrl'Ql'$ to FOmponent for adjusting the focus of thedIrect Jightto a camera mounted above the microscope. SIlt litmps imlcrosrope and the slit (e.g., slit rotation, $lit

. . . !WIdth); some also have refraction mirrors toprovide a magnified view of eye struct.l:lres (e.g., eyell4, SCi. ·fera, frls. i"'1ct)' htto t d b th. ... ~"re Ig a camera moun e a ove necrystalline lensand cornea)i some IO.struments can.also examine the Imlcroscope. SJlt lamps provide a magnified viewretina ISsingspecific lenses. Slit lamps are used mainly In the diagnosis Iof eye structures (e .g., eyelid. sclera, Iris,

eye conditions. !l-'rvstailine lensand cornea); some Instrum~ntscan also elCamlne the retina using specific lenses.:stit lamps are used mainly in the diagnosis (If eyeonditions.

1. LED bulb (10V 4.4W) with COMPLY.adju.stable and goocUlfumlnation. COMPLY;Z, Facilityfor appianation tonometer COMPLY3, Type of microscope: Binocular gg:t~4, Have 5 step magolflCation and. total COMPLYmagnltkation Is greaterbnlOJ(, COMPLYs. Slit width O~l2mm COMPLY6. SUt lengthO.3-12mm COMl"L Y7_Filte~s:btue, ~en (red free), heat COMPLY

:r_fj:~ML'MtbXAS 1 COMPLY8t.:~Rq~~.~.-V-.Lr~~!<ITlr.!Ve I ~g~t~

~I: l?tJ4 ~ntfl ~..~ . 1'···.'.'-1!'l, _ :.I _ ')1'.. ,<".,17S ~A.v.'\1. 'iT;_ i"l;!.r !,,:: ·ur~· . - ....•.¢(/'4... ~ "·;{"t~ .: "'/f'''' ~ Lt1"!\I':ll nONqlliU-:-; ST. vnP'-;_,. ~';Aryj!.P, , ;."'1.';'/ '.'" ....,-~ ..

1. Should have 1.E.Obulb (lOV 4.4W) with adjUstable andgoodilluminatiol'l.2. Should have fadJity for a pplanation tonometer3. Type of rnierescoae: BInocular4. Should have 5 step magnification and total magnification isgraterthan l.Ox.G.Sbould No"", "lit width :a, 0-10 mn'!, tldlus.table.6. Should haye silt length o!! 0-10 mm, adjustable.7. Should have sumdard filters: Minimum: blue, green (redfree),heat absorption. A broader selection of fiiters increases thefunctionality ofthe silt lamp.8. Rotation i,s between ()''It!O''.9, Should be,SI.Ipplied wl~ Qlotorized table.

I -~~-..- ---~t - ..~ ... - .......-~'I

PROCURfNG ENTIlY BtDDEWS OFFER

Specification as Technical Orrer

TEQiNlCAl DE$C8lPItON

9.tongitudiilal moveintml of.Bt least 90mm10.Iatera1movementof 98 mm11. vertical movement of at least 30mm.12. chin rest vertical movement of at least

5Smm.

9. Should have a longitudinal movement of at least 90mm

1

10. should have a lateral mOVemel'lt of at lean 9Strlrn.11. Should have a vertical movementof at lea$t 30mm.12. Should have a chin rest vertf~1 movement of at least 5Smm.

BIDDER'SS1Wfl!:MENt OF

COMPLIANCE 'COMPLY

COMPLYCOMPLYCOMPLYCOMPLYCOMPLY

PHYStW DESCRIPTION PHYSICAl PESCRWflON

Dimenslons(metJic): NAWeight [lbs,kgl:Approx.24kgNoise (In dBA); <50 dB

Heat dLs.slpatlotl NAlitty, portability: with 4 wh"l-swnd; $teel

Dlmensions(met1icl: NAWeight (Ibs, kg): Approx. 24kgNoise (in dBA}: <SO dBHeat diSSipation NAMobility, portability. with 4 wl1eel~stand, $teel


UTtUTY REQUIREMENTSr-unUTY REQUIREMENTS

Power requirements: Should operate from 100 to 240V/ SOHzinput supply.Battery operated: Should be supplied with suitableonlineUPS with at teast half an hour backup.Protection: YesPower consumption: 10VA

Power requirements: Should operatefrom 100 to 240V/ 50Hz i'pJ:supply.Battery operated: Should besupplied with suitable oniineUPSwith at least half an hour backup.Protection: YesPower consumption: 70VA

COMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLY

ACCESSORIES. CONSUMABlES, SPARE PARIS.OIHERCOMPONENT

ACCESSOR.ESt CQNSYMA8tfS.spARE PARIS. OTUERCOMPQNENT

1.FotUsini Test rod & dust cover2.Strt lamp dust cover3. 2 pes chairs with baekrest4.Applal'latlon tonometer, hang typeS.Rack. manual and motorized stand approx.S40-470mm6. Camera attached to the machineImage sensor: CMOSImage size: Up to 3,840 l( 2,748 pixelsResolution depth: 8:blt or 2btt: Raw

RGBiransmitmethod: USB 2.0

~l. FocusingTe$t rod & dust cover;lit lamp dust cover

3. 2 pes chairs with backrest4. Applanation tonometer, nang typeS. Rack.manual and motorized stand approx, 540470mm6. camera attached to the

machlnelmage S1!I'lSor: CMOSImage slz-e:Up to 3,840 l( 2.748 pbc~lsResolution depth; Shit o.rlbft RawRGBTransmit method: USB2.0Transmit speed; 480MbpsFrame Rate: at least Slfps,21fpsPhot08 ....phina. t;..., ... nal TrlSso.r Cif Software TriailEH"Dlmeh$lon: approx. 321'1'11'1'1(W) )( 34mm (H) X 41mm(0)

7. 24 Inches LCDmonitor attached to. the camera

Transmit speed: 480MbpsFrame Ra~! at least 31fps,;ZJ.fp

24 inches LCD monitor lI.ttached to the1"2"""'" /' /~

~ .~ • .J4l' A{""" ~C

COMPLY


COMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLY

COMPLY

PROCURING eNo11TY' BIDDER'S OFFER

Sl.td6cation all TecluticaJ Offer

£N.YtRQNM£NfAl REQUIREMENTs

1 .operating COr'ldftlo}'l:Capable Of Operating ctlntlnbQl.l51yin mnblent, temperature on'oo 40deg Cand' relative humidity .of is to 9O~.o idealcl:rcumstarices.2. Dlsiofectlon; Parts of the Devk:e·t~t are de51gnedto come intocontact with the patIent or the operator should eltherbe eapable.ef

•easy dtslnfectlon or be protected by a sIngle use' sterile disposableCOver,

Spect&ation as Technical O«etBIDDER'S

Sl'A'fEMENT OFCOMPtIANCE

COMPLY

COMPLY

COMPLY

DELIV£RY


Mre delivery, supplier must caIIthe Materials Manasem.ent section;elivery coordInation to avoid non-acceptance Qr~llilV In

acceptance.

ENVfRONMENTAl REQUIREMENTSf .OPe~tl"gcOnditibn: CaJ)aLjle'of operating~ontil\uO!J$ty in ambient :t,~mperaw~ of 5 to4Q deg C and relative humidity of 15 to 9O%,tnldealclrcumstances.2. Disinfection; Parts of the DeVice that aredesigned to come Into contact with the patientor the operator should either b@capable ofeasy~islnfection or be protected by a single use!!sterne disposable cover.

pELIVERY3Dto 60 days from the receipt of PurchaseOrder.

~fore delivery, supplier must,call the Materials[Management Sectl~:mfordelivery CQOrdln&tlono avoid non-acceptance or delay In

[acceptance.

COMPLYCOMPLY

C.OMPLY

TRAINING, INMALLATION & UTIUZAT!QN

equipment.!. Provide Se!Vfce Report per iJnit

j. calibration Certiflcates or equIvalentk. AcceptanceI. Prefttlrrtive- MJi{j~nance Calendar

"(NOTE: PROVIDE AND AlTACH DOCUMENT[ro PROVE THAT THe ABOVEMENTION£D ARECOMPUED SUCH as the ff.)"f. List of the £ngineers/Technlcians withtheir certificates to conductservice andmail'ltenahc&g. Ufit of the Analyters/Testlng tools withtheir 6r .. m:I!Modol/$4t'l ..1No.ond It<s " .. lidcertificate of

/' ~ caUbrationt

Acceptance and Maintenance:A. During a_cceptance: The supptrer should conduliltactual testing(Quatltative and Quantitative Test) using,callbrated analyzer!:'or testll'\idevices. Witnessed py the end users and the technical Inspectors.

a, Vafld certificates of the Techl'lldans/Englnee,s to totJPuetservice/maintenance

b. V,.lid certificates of calibratron of the analyter and t-estlflgequIpment.

c. P)'ovide Servl" Report pet unitd. calibration Certificates or equivalente. Acceptal'o{;e .

~1)reventllte Maintenance Calendar

"(NOTE: PROVIDEANDAJTACH OOCUMENTTO PROVE THAT THE ABOVEMENTIONED ARE COMPUED SUCH as the- fl.)"a. Ustofthe tnglneers/fechnlclan$wlth the.lrcertlflcates to conductservice and maintenanceb. Ust,of the Analvzen{Testlng tools with their Bralid/Model/~rlal No.and itS valid certificate ofcli!lIbration),'e. Sample/Template of Service report and calibration c&rtlficate orequivalentd. Sampte/femplate of PreventMl MaIntenance StIckere. SamplelTempl~ of P,-eventlVe Malntemlnce calendar

C ES AR" .~ KO X~-w.:mp'e lTemplate of Service report"tITHOR.!~~O RS.PRE5f.J'.~tI~ibr tlon certificate orequivalentMY\': 'JPto ~ rA;::)!'~' l~mpJatremplateofPreventive

H<:; r~.'('';.'~'iT". !.'U':' '< clM.ainte ance Sticker5'31 ftQ-Wll'l1)_.) ";;_f"l (",f.-·~tJe rplate of Preventive Maintenance

IIi:. .• N'>J~. l'.J ie.· i~~ t ~('Ici~ndar ':7 l;;;ltlMPL Y

IMJNtN§, tNS'tAllATIQN "unUlATlON

,Acceptance and Maintenance:A..During acceptance: The supplier shouldconduct actual testIng (Qualitative andQllantltative Test> using calibrated analyzers.Ql'testlngdevlCes. Witnessed by the end

users and the technicallnspe~ors.S. Valid certIficates of the

Technicians/Engineers to conduct

setvlce/maintenanceIt Valid certificates of calibration

of the aoa!yz&rind testing

COMPLY

COMPLY

COMPLY

COMPLY

COMPLY


!cOMPLY

COMPLY

COMPLY

COMPLY

COMPLY

--------

PROCURING ENTITY BIDDER'S OFt:ER'

LV

Speciileatioll as.TKbnicat Ofler

A. Warranty Replacement: In case of,unit malfuncti90 the bidder AWarranty Replacement: tn case of unitshouldi'eptace the unit w~h a brand new unit wltbt:n th"e mol'lthl. rnalfunctlon the bfdder sh.ouldmplace the unit withfrom the start of the warral'lty ,~rlod. a brand new,unit withIn three months from 'the-

start of the war:r;sntyperiod.St!!rvlceand Parts Warranty: at least two (2} years

()r both service aMparts with annual preventivemaintenance service

WARRANTY

8. Service and Parts Warranty: ar.least two (2) years for bothservice 8nQparts with annual preventlve·tnaintenanC&·s6Nlce

C. Service Unit;a. In case of Unit Malfunction, Bidder must prOVide a ·servfce unit

wlthln24-12 hours untU such time thatthe Unithas been repaIredor replaced.b. Bidder must have 24/7 readllyavaflabJe Tec;hnid_arl:tp provide'echnical serviCe and support within 24 hours from teport v.i8 ,

tine callor emailln case of machine b~akdQwn or as needsarise.

D. Warran.ty ~rtiflcqtes; ComprehensiveWarranty Certificates, must be InclWed anddefine In the tOntract .

Spedtkation as Tecbnitai Offer

WARRANTY

C.s.!rvice Unit:a.ln case of Unit MalfunctIon, Sfdder must provideII .servfce unit wfthln24-72 hours until such tjm~that the unft has been repaired or replaced.'b.8ldder must have 24/1 readily availableTechnician ttl providtt tethnica.ls.erv.{<:e .ll~dsupport .withIn 24 hours from reportllJa phone oallor emailin case of machine breakdown or-as needs arise.

.. Warranty Certificates:Comprehensive WarrantyCertificates, must be Included and

E. Unit, parts, and consumables should be avallJlble within S year.s. define In the contract

"(NOTE; PROVIDE AND ATTAOf SAMPLE/DRAFTFOR THECOMPR£HENS1Vf, WARRANTYCEIITIFICATES)"

DOCUMENTATION;::Certification from the manufacturer

authenticated by the Philippine Consulate from the CO'-'~I:ry'-()forigfn ofthe tIosp~1 equlpment/mad'!ine that the "lNarrantyshould not be affected with the change of distributor.In case said Celt!ftcatlon fs not avaUable In time o-f Opening of Bids,8fdder must suj:)mft 1t d4ri!\g·dellvery

.b, Bidder' s certificate that the parts shall be awllable.at theauthorizedPhilippfne service c.enterls fur a peff()({ of~ years edt",the wammtv period.

c. Certification from the manufacturerauthenticated by the philippine Consulate from the country cf.. rlSrn tha1 ho,.plt.1I equlpment/mach.lne h>\$ b~en In the local orInternational marketfor at'feast five (5) years. .

d. For demonstratIon/ confirmation of spec:during theevaluation.

E. Unit, parts, and consumables shou.1d be. availabfe. wittlln S years.

{NOTE: PROVCOE AND ATTACH SAMPLE/DRAFT FORHECOMPilE'H£NStVE WARRANTY CERTIFICATES}"

.Certification from the manufacturerauthenticated by the Philippine Consulate fromthe country of origin of the hospitMequfprnent/machfne that the warranty should notbe affected with the change of distributor.In case saId certificatIon IS not avaUabte In time ofOpening of Sids,Sldder must submit It during delivery

~.Bldder'$ certifk:atethat the parts shall beavailable at the authorizedPhiJIpplne servjcecenter/$ fora period of 5 years afterth.e warrantyperiod.

BmDER'SSTATEMENT OF

COMPLIA1'I(l: .COMPLY

COMPLY

COMPLY

COMPLYCOMPLY

COMPLY

COMPLY

COMPLY

COMPLYCOMPLYCOMPLY

COMPLY

COMPLY

HuvitzSlit Lamp & 1+9 System.t

rIo f atiDd

frO 'MY:

Republic of the PhilippinesDepartment of Health 'pepeeu

DNldWVlS ON 'uuof palD.laua8 unndtuoo D r! r!'1.L800-d-Sd-;)W1Dfl[we 'or l!.IdV :alDa aiI!J:Jaf/g

Tl=rl-l NIrA I c:pl=rll=lr ATI()(\I,I ._'"' I I ... J '-0;£'""1.... "'" I ...'-'. I • """',-, J J '-' I , ....

. :~):.t1aSUPPLY AND DELI· ERY OF VARIOUS MED~JfQUI&~YQ"~laAoaltll~mi!S

182021-0118 :~lDlOJUOJ

PROCURING E BIDDER'S OFFER

~~~~~~~~~~~~~a,J,l a.l~.l1J n !J

COMPLY

Wll

. posftIons 0 e re~Iate the corneal cu re and the refractive power. consist of light sources, a pair of oblects to be

thalmometel'$ are Sed mainly for pr.~asse$$~tJ8~~~ve d grp.l~d onto ;'he cornea, a telescope withCOmellu,1 rQ~co1l1actIJtJls fItti!l&" • oorr J~~,,1ft'~n'f;fbP;~f{l~~f1s,- nan., tPlnoltll n

v.J~ AI.{l}lCll{ S! (,,/Q1XiJid) ado:Jso'l:Juo.lElpdo:Jsop ~J4~WM'flNtM(~(Ul(\jUJlIl~. ou oi Addt1q~.m~the reflected Images, and th.e softwareappropriate to calculate the corneal c;urva~and the refractive power.

phthalrnometi!f'5 are used maInly fer pressessment for refractivecorneal surge~~a3or (Ontact lens fittl • . ..

. !::J uozon 'laaJlS-eM~

·3NI 'S:!I'IVS SS'JIlIdX:!I 'IV3IG:!IW W!>mI

- -- -_._----

lIu.N.Dxozavsvrvo- .\1 (010) ~1:1A!;I(l 'tD'lNH JOJ JQIll9:) '1UJl!QHJO .~wped:.xI

SQu~~-o~it ~'l?P~'AND DELIVERY OF VARIOUS Ml:I~JU"LEI:ltmJl!l9lt:N 2

TECHNICAL D£scatPTION' TECHNiCAl R£~1UP11QN COMPLY

Auto-refractometer Auto-refra,ctometer COMPLY1. ShoUld have In the system l.Should have in the system COIVIPLY2. Should have r-efOlctJ'Vemeasurement sphere from -25 to +220 in s~ps 2, rerracti\le measurement sphere from -25orQ.25D to +22D in st&psot O.25D COMPLY3. Should have :re.ftactlve me8sur~mentq!lnder from ·.10 to +100 In 3. have refractiv~ mea$U{,emellt cylinder fromsteps of 0,250 -10 to +l~D itl$te-ps of 0.250 COMPLY4. Should have refmctw~ measurement aXl$angle. from 1 to 1802 in 4.. ref.ractiveme;lsUrementaxls angll!

COMPLYsteps ofl~ from 1 to 18~ insteps of III, S. Stmutd have at least 0, 12 and 13.5 vertex distance S. 0, 12 and 13.5 venal( distanc~ COMPLY6. Should measure II minimum pupil diameter of 2.5mm 6.minlmum pupil diameter of 2.Smm7. Should have at least S Inches LCD/lEt> dl$play 7.at least 5 indies Leo/LED display COMPLY8. Should' have vertlcally adjustable chin rest of at least ±2Smm 8. vertlcalfv adJu~ble chin rest of at least9. should have motorlted tabfe. ±2Smm COMPLY

9, with motorized table.COMPLYCOMPLY

If

lB202100118_.stJPPlY AND DEUVERV OF VARIOUS ME

PROCURING ENTITY BlDDER'S OFFER

Specifaeatioll as.T ecilOicaj Offer

I{eratometer .JR;dlus of CutvatW"i!~appt()Jt. 5.0"13.Omm{lncr:ements:p.Olmm) .

iCornealPower: approx. 25.96""67.SODCorneal Power: approx. 25.96""67.S00 (Increments : 0.05, ~inaemei1ts: O.OS,0.12, 0.250) (When0.12, 0.250) (Wben'corneal equivalent refractlve index is !corneal equlvalent refractive Index Is~3375) L3375)

KeratometerRadius of Cumture: approx.~~O"'U.ommOnt~: O.Olmm)

~orneal Astigmatism: approx. 0.00- - 15.000 (increments ; C«-neal AstJgmattsm: appr-ox. 0.00- -10·05, 0.12, 0.250) 15.000 (Increments: 0.05, D.U, O.2S0)

~IS': 0'"'180" {Increments: 10,

~pll, 'r1$ DJameter:approx. 2.0"'14.0mm(lncrements:lmm}

Axis: O"'18(1jJ (incr-ements : 10)

Pupil, ltis Diameter: approx.2.0"'14.OPJm{tncrements : O.lmm}

BIDDER'SsrAtEME.VI' OFCOMPLIANCE

COMPLYCOMPLYCOMPL.Y

COM.PLYCOMPLYCOMPLY

COl\iiJlLYCOMPLY

COMPLY

COMPLYCOMPLY

PHYSICAL OES.cruPTlON

Oimet\Sion$~ Mintmum 2.60 x 490 x 4S7mmWeight {tbs, tci): approx.1Skg-2OkgNoise (In dBA); NAHeat disSipation: NA

Mobility, portability: NA


Dimensiohs:-251 x 5.13.x 433mmWeight (Ibs, kg}: apprQX. l6kgNoise (In dEA): NAHeatdlssipatioo: NAMobility, portability: NA

COMPLY

COMPLYCOMPLYCOMPLYCOMPL.YCOMPLY


Power requirements: EJect.ri~aH~equlreme"t : 100"-240V50/60 HzSattery operated: No~ectiCln: NA ..

er consumption: 6G-90W

unUlY REgUlREM£NTS ..

POWfarrequi:rernents: E.ectrica.lRequirement! 1OQ-240VIGO/60H~Battery operated: NoProtection: NAPower consumption: 6O-90W

COl\fi>LV

COMPLY


182021-0118_ SUPPLY AND DEUVERY Of VARIOUS MEDICAL EQUIPMENT SET 2

..

ACCESSORIES, CONSUMABlES. !'--OMPLY

SP~ PARTS.OTHERACCESSORtE~ mN§.YMABJ&S. ~paRE r.JY!!St OTHER mMfONEH!COMPONENT .: Consumables; printing paper( chin rest !cOMPl.Y

paperConsumaofes; printing paperx chin rest paper Thermai printing paper: at least tOMPLY

Thermal printing paper! at least 58mm in Width; at teast SSmm in width; at least48mmCOfvWLY

48mm outside parameter~perroU)J at least 2 pes outside paratnete-r (:per roll); 2 pesChin rest paper: at lea$t 5x2x3 inches, at least SOO/pC(lck Chin rest paper: at least 5>(2)(3 COMPLY

Inches, at least SOO/packAccessories

high grade nylon white dust COVer Accessories2 adjustable stools with wheels Ihigh grade nylon white dust cover COMPLY

~ adjustable stoois with wheels ~rn..1PLY!cOMPLY

f

182021-0116_ SUPf>l Y AND DELIVERY Of VARIOUS MEDICAL EQUIPMENT SET 2

PROCURING ENTITY BIDDER'S OfFER

£NVtIlONMENTAl R£gUIftEMEttrs ENVIRONMENTAl REQUIREMENTS

Operatlo$'Ctmd{tlon; Capabk! o(operating'contlnuously inamb1ent . ,Of)eratlng Co"dlt(o~:' Capable of oJ)&tatfng.temperatu,ra;of s tQ40 dlg C and refatlve buniidtty: of 15 to 8~.ln ideat ccrntiiiuouslyin aM61ent temperature of 5 toclrcumstan~5 4(},des C and ry!fative humidity of 15 to 60% in

ideatclr~umstancesStorage condition: capabte of being stored contInuously in ambienttemperature of 0 to 40 deg C and relative humidity of 15 to 90% Storage condition: Capable of being

stored continuously fn IImblel'lttemperature of 0 to 40 deg Cand relativehultlidftv Iilf 1S to 90%

SteriliZation not f4qulred.

[SterilizatiOn not required.

BIDDEJt'SSTATEMll:N'J' (Jf'

COMPLIANCECOMPLY

COMPLYCOMPLYCOMPLY

COMPLY

COMPLY

DEUVERV DEUVERY

iWtthln sllrtv (50) days upOn receipt.of Purchasebrder

COMPLY

COMPLY

TRAiNING. INSTALLATION -& UTIUZATION 'TRAINING. INSTALlATION· BeUTiLIZAtiON

Ac~ptance and MaIntenance,:A. Duling ac~tance: The supptler should COAduct actual ~ting(Qualitative and. (luantiQit!ve lest) using calihrated analyzers QrtestingdeVices. Witnessed by the end users and-the temnlcalll'lSpectOrs.

a. valid certificates of the Technicil»'l&iEnglneers to conductservice./maintenance

b. ViUd cemfiattes of c:ailbr'atia'n of the analyzer and. t~ng

Acceptance and MaintenaJ'ICa:A. During acceptance: l'he suppfler shouldconduct actl.lal testing (Qualitative andQuantitative Test) using calibrated analy2ersor testlngt!evjces.. Wltne$Se<! by the ElMU$er~and the techn~i Inspectors.

a. Valid certifICates-of theTechnicians/Engineers to coJ'\duct~efVke/maihtenanceb.VaUd certlficates:of calibrationof the analyzer and testingequipment

equipment.c. ProvIde SelVlce Report per unit

d. Calfbratlon Certificates or equivalente. Acceptancef. PreventiVe Malnteoanee CalendarIIOTE: PROVIDE AND ATTACH DOCUMENT TO PROV1: THAT THE ABOVE

MENTIONED ARE COMPUED SUCH ~'the ff.,...3. Ust of the Engineers{Technfcfan$ With their ce~tes to conductservice and ma.iJ'ltenanceb. List Qf the Analy2f!rs{Testtng tools with their Brand/Mo<;Iel/Sedal No.and itS valid certlff<:aie ofcalibration)" .c. SampIe/Ternp~t. ofSeMce reJlOrt and calibration certillcate orequivalentd. Sample/Templa:te of Preventi'lle,tw1aintenance Stickere. Sample/Template of Preventtve Maintenance calendar

c.Provide SeNice Report per Vl'Iit:d.Q)libratIQn Certificates or equlvatenta.Acceptancef. preventive Maintenance calendar

a(NOTE: PRO¥IOE AND ATTACH DOCUMENTto PROVE THAT THE ABOVEMENTiONED ARECOMPUED SUCH ~ the ft.}"a.USt of the Eligineers/Technidans withtheir certificates to eonductservtce andmaintenanceb.tist ofth~ Analyzers/Testlng tools with

~ [thetr Brand/Model/SerIal No.and Its valid_, o. teQf

CERTIFIED" ~ e CQPY 1 CES~ ROXAS ,ctaUb;~tiol))"...-.:;.. ! 'M!:t-!f)~..~~.~[~, RepeEn;~T.~.n t~ple/Template of Service report and---===--"'_I5o::::::"'_-_..L..Lt M 1C (i;.J. r ,t • ME Q kif· ~b b.. rSt_ • Il' .~7<;,VOl\!: ',I. :,r ,,~.,\(,'A n ~if l ~~j ",tiO!) certu""..te orequiva ent .Iis'ii! f';o!·r'l:);'t :, :,: ()1. tA!-D, Mt~ te/Tempjate.ofPreventiveMalntenance

, l'fl.t~~)"_ J.~'i) ·1'J~j. "ft;.s5 IstickaIs· M-.\11. ACf...il.ross: I ss: Ie,Sa(1'l~JefTe.mpla:te of Prellentive Maioten3m:e

sa!~s<e,mt'~.z:jlf:i>(';~r~,t;om Cale.m ar

COMPLY·

COMPLY

COMPLY

COMPLY

COMPLY

COMPLY

COMPLYCOMPl.YCOMPLY

CO~tpLY

COMPLY

COMPLY

COMPLYCOMPLY

COMPLY

COMPLY

.~

UZAnON

Pre- installation requltement~ Availability of 5 Amp/15 Amp. re- installatlon requirements: AvailabilityElectrical SoCket f 5 Amp/lS Amp. Etectrieal Socket

Requlrements for slgn--off: Suppl18r to perform installat~n, safety ~-fqulrem,ents for sign-off: Supplier tond opel"~tion checks before handoYel. local. clinical $taff to affitrn rform installatfQn, ~ty and operationompietlon of tMtallation. heeks befo~ handover. local c}lnica1staff

o affirm completion of Installation.Training of staff (medical, technicians); Trafnlng of users Inoperation and basic maIntenance shedl be p!'O'!lded.Advancedmaintenance tasks required shall be dOcumented.

. Till'lln.! .of ~taff(medIcal, techn!'Cians):rainina ofusers in operatio" and basic

Intenanee shall be provided. Advancedaintenance tasks required shall be·

ocumented.

r>.

COMPLY

COMPLY

COMl'LY

COMPLY

~l···Ii!

PROCURING ENTITY BIDDER'S OfF£R

Speci6cat~o.. as TeclIttital Offer SpeciiltaUoo as TechniClti OfferBIDDER'S

SfATEMENT Of!COMPUANCE

!'t(NOn:: ~OVIOE AND ArrACH SAMPLE/DRAFT!r,OR THECOMPREHSNSIVE WARRANTY

~,~ ~ __ ~r:~_R_TI_FI_CA_T_£_~_H~_I_e~_--~_e_~tta__ c_~_d_c_emffi__ -_~_~~I ~

WARRAtgy WA.RRANTYA.Warranty Rel1Jacemel1t~ lo'Ca5e <1f unitlna1funttion, the bicf(jers#mufdreplllm tlleunit with a brand-new unit WithIn threemonths from the start of the: warranty period.

A. Warranty Replac:ement: tn case of uf\lt tT\alfunctlon. the biddershould replace the unit with a brand-new IJ.nitwltmn i;hfee months fromthe start of the warranty period.

B. Service· and Parts Warranty: at least two (2) yeats for both senflt:eand parts with quarterly preVentive maintenance ~1V!ce

8.s~1V1c:eand Parts Warranty: at least two(2) years for both serJlceand parts withquarterly preventive maintenance servIce

C. Service Unit:a. Incase of Unit Malfunction, Bidder must provkl~ a service unit within24-72 hours unt" sur;i'I time that the unit h<J$been ~patred or replaced.b. Bidder must have 24/7 readily avarlable leclmleian to providetechnical service and support within 24 bours from reportvia phone .callOf email I" case of machine breakdoWl'l or as needs arise.

C.Servlce Unit:a.ln case of Unit Malfunction, Bidder mustprovide 8service unit within24-72 hours untilsuch tl~ that the unit has been repaired orreplacl!d.

b.Bldder must have 24/7 readily availableTechnician to provIde techOital servICe andsuppo Itwithin 24 hours from report Viaphone caltor email in case of machine.brealc:lown or as needs arise.

J. Warranty Certiftcale$: Comprehensive WarrantyCertificates, must be included and define in the <;ontra<;t

E. Unlt, parts, and consumables should be available within 5 ye;trs.

"lNOTE; PROVIDE AND ATIACH SAMPLE/DRAFT FOR THe,COMPREHENSIVE WARRANTY CERTIFICATES)"

D. Warranty Certificates:CoMprehensive WarrantyCertificates, must be includedand define in the contract

E. Unit, parts, and c:onsumables should be.available within 5 years.

t C ESA!I:i.-":I".......-!rtr. M Thor, iZ!!!) lit: PESEHTATIVE

I MT'C 0111'0 - '~ll::e.:c f:"C: I41 ::13 .~"':'~~,:·d.. : ;. },L-tt,·J. ~ :::1' {. j

Ih1 f\~~l,~t..,~,.t'-I :'.7..•..'.•I":'.~' ;"':'\."J l.a. :TE_~ '" 0; {) !;. t~ ~ :.' _,~ f

E-1V!·ti:. :\(H~fir<;::: "J;.S· rS9les@mt :21'!,,(,.3fe.c~m !

rntc, jher e. 'donn i5@gmall com

cE.~ftue COpy I,_~ __ ___,..__ L

COMPLY

COMPLY

COMPLY

COMPLYCOMPLY

COMPLY

CO~LY

COMPLY

COMPLY

DOCUMEIfi&TION DOCUMENTATION COMPLY

a. CertfficattOl'l from the manufacturer Ia.CertlfiartiQn from the manufacturer COMPLYauthentrtated by the Phifipplne Consulate from the coufrtty oforfgin Qf aut~enttqsted by the Pl'UlippineConsulatethe hospital ~fprnent/ machine that the warranty $hould not be from the country of orig(n of the hospitaiaffected with the chaflg6 of·41itributor. equipment/machine that the WamintvIn case said CertificatiorT is not available in tfmeofOl)enlng of 8~ . ~houldnot be aff~ with the change of8idder must submit ft -di,uingd:eJlvery distributor.

In case said CertifiQ:tion·1$ not available in th'ne CO,.WLYb. Bidder's certificatE! that the pa rts shall be available at the authorlted of Opening ofBld$,.:PhilipPineservice cetl~rls for a period of 5 years after the warntnty Bidder must submit-it during deliveryperIod.

1b.8Idder's certificate that the parts shall be COMPLYc. Gertifi<:ation hom the manufacturer available at the authorfzedPhlllppine servic.ealJthersticat~ by tha PhIlipPIne Consulate from the eourttr;; o.f orJgin enterls for a period of 5 years after thethat hospital equipment!' machine has been In t~·local or ~rranty period.international marketfcr at least five (S) veSlS. COMPLY

~,CertiftCjition- fr<Jm the manufacturerd. For demonstration/confirmation ofspeciffcatiOl'I during the authentltated bv the Phijlppine ConsulatEe~tiofl. from the .country of origin that hospital

equipment/machi~ bas been in the IocaJOT international mark-ettar at least five ("Slvears.

d.FoT demon~ttattorVconfirmation of COMPLY~peGlflcatlon durlrtg theevaluatfon,

CER;::Z: COPYI

,,...---.....,_.


Specification uTecb.ieal Offer Specificanon as Tec:bnkai Offer.BTDD.ER'S

Sl'AT£MEN1' QFC01\'JPl.lANCE .

DOCUMENTATION DOCUMENTATION COMPLY

.Should provide 2 sets {hclrd copy and soft copy) of. Shouk! proVide 2 sets (hard copy and soft copy) COMPLY

1. User, technical and mainte.nance manuals should be .supplied in .of:

English liilngvage along with .m;rchine diasrams 1.User, technical and maintenance COMPLY

2, List of equlpmellt and procedures required for local c:afibratiol'i and manuals shoutd be.supplled In£'ngl!$hroutine maintenance language along with machine diagrams COMPLY

3. Servia! and opention manuals (orlglnal and Copy) to be provided 2.USt of equlpment al'ld procedures4. Advanced mainttmaoce tasks dcx;umehtat;on required fol' local calibration and routine COMPLYS. Certificate of calibration and fnspectfotl maintenance

~.s."'k.'Mop'"",,o "'..... 1'(ortgjn"""" COlviPLYpy) to be provided

Adllaoced maintenance tasks documentation COMPLYis.Certificate of csfibratlon and inspection.

SAF£lY AND STMIDARD SAFETY AND STANDARD COMPLY

Should be US FOA/Cf./B1S/tosctJ· approved 1.Should be US FOA/Cf/BlS/COSCO COWLYr'Manufacturer should have ISO 13485 certifICation for quality approved COMPLYstandards.

2.Manufacturer should halle ISO 13485

ilcertifkiation for qualltystandards.

c-2-CESARROXAS

Name o"d SlgnatJJre oj Authorized Representative

(Sgd.) EUZABErH .V. PAUNES,' MD, FPNA~FPPS)FCNSP

BAC Chairman

16202.1-0116_ SUPPLY AND ~lIVERV OF VAf\1

------------------ __ .

<Y.>VeWJojJoo pue anle" 4l!M UOllel\O<.!Ui 6UIU!C!WO'j

IUOUJdolelAep ):)npoJd LI! peal 01 sanuuuoo ZlIl\nH 'p81.16)S"PAliN

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TECHNICA·l SPECJFICATIONSSUPPLY.AND DELIVERY Of VARIOUS MEDICAL EQUIPMENT SET 2

1820-21-0-1.18

PROCURING ENTIlY

Speeificatiol'l as Tuhnieal Offer

COMPLYITEM12: 1 UNITApplanation tonometerABC. PHP 80.000.00

BIDDE~S OFFER

Spe.:ification as Technical Otter

IT£M 12: 1 UNIT Applanationtonometer


Ophthalmic tonomet-ers designed to determine intraocolar presstlre by pphthalmk tonometers designed to detel'l'1llnemeasuring the force required to flatten the cornea apex by a fixed ntraocolar pressure by measurina the forceamount. The5e fnstrl.lments are tvpi~11y small and reu!;able instruments equired to flatten the cornea apex by a fIXed, . _. . . jamount. These Instrurnentute typICally smalland are attached to a slit lamp; the tonometer Includes a tip to be 6. d bl 'f t ..J _1... A t

• . 1"1'1 reUS<!: e ns rumentsanu are a" ,ue.... (I iIa~pliE!Qto the cornea and a manuallv controlled spring that applies a Ellt lamp; the tonometer irn:ludes a tip to bevariableforceon the corneathroughthe up. "plied to the corneaand a manually

"trolled spring that applies a variable fornejan the COIT.e.t thr4ugh t1ie tip. _

TiCHNICN- OEPfPT1QN TECHNIQU:Q§§CRtfWN

1. Rangeof Measurement Q-.8() mmHg2. Movement of Light Circle 1.53 x 2 = 3.06rnm

~ Prism Diameter 7mm/ Prism Range of Mowment 3mm

oJ_ Should be compatible with all models of sift lamps

Range of Meas1,fT8l"1Wnt0-80 mmHgMovement of Light Circle 1.53 x 2 = 3.06mmPrism DIameter 7mmPrism Ran~ of Movement 3mmCompatible WIth all models of slit lamps

COMPLY


PHYSJtAt D£~RlpnON COMPLY

Oirnensions(lTIetrie): NAWeight (lb~, kg): NANoise {in dBA): Noise Free SystemHeat dlsslpatlon: Should maintain nominal temperature andthe heat should disbursed through a cooling mechanismMobility, portability: Supptted in protective case for clean$torafil;eand saf.e transcort,

PHYSICAl OESCRtPTION

!oimensions(met.r'k): N.Atweight (Ibs, kg): NANoise (In dSA): Noise Free SystemHeat dissipation: Should maintain~ominar temperature andthe heat~houJd disbursed through a cooling!mechanism Mobiltty, portability:Isupplled In Df'otective case for cleanistorage and safe transport.

1 CESA~XA~I-~

COMPLYCOMPLYCOMPLYC01v!PLYCOMPLYCOMPLYCOMPLY

----------_. __ .._-


TECHNJCA,L SPECIFICATIONSSUPPLY AND DEUVERY OF VARIOUS MEDICAL-EQUIPMENT SET 2

182021-0118

PROCURiNG ENTITY BIDDER'S OFFER

S~d.fieatiOD as Tedlnital Offer Spet:iflCatioil as Tee:bnic:al Offer

~~ ----------------------------------------+-----------------------------~--------~

ITEM 13: 1 UNIT TrJallens SetABC: PHP 50,000.00

ITEM 13: 1 UNJTTriaJ Lens Set

Trial lens set is an ophthalmology calculating apparatus used to examdiOPtric situation: hyperopia, myopia, presbyopra, astigmatismstrabismus or color blindness. It mainly consists of po.Sltlveor negativesphere tens. positive or negatfv& qlinder lens, prism lens and accessory

Trial lens set is an ophthalmology calculating11Pparatus used to exam dioptric situation:hyperopia, myopia, presbyopia, asttgmatfsm!strabismus or color blindness. It mainly consistsIof posi;t!ve Of ne.gative sphere lens, positive or!negatIVe cytlnder lens, prism fens and accessoryliens, etc.

iens. etc.

BIDDER'SSTA'rEMENt OFCOMPLIANCE

COMPLY

COMPLY

:rt'CflNlCA(' OESCRfPfIOtiS. The lenses ba_ 20 mm epertDnl fitted In

1.•The Jenses should be of 20 rom aperttlre fltted In aluminium mo&mt of aluminum mount of 38 mm diameter, anodiled38 mm dremetll', .~ii,WI red! gold for n.ptlve power endbJ.c:k/sUver red/lold for neflttive power and btatk,lslhter forfor positivepower positivepower2. The,Sphere lenses with handle and cylinder without hlndkil 6, The Sphere lenses with handle and c:ytIndel3. The tria' lenses. should" load qua11ty, the ce&e made of melamine without handle~dwood. sturdy and attreettve finish 7.11Mltrial lenses of Sood quantv, ttl. ~4 ,s.-spheres + and, made of melamIne pofi$hed wood. st\Itdy. anda. 0.25 to 4.0 In 0.25 steps .attractive ftnlshb. 4.S to 6.0 In 0.5 step$ 8. lenses· spheres + and •c. 7.0 to 14.0 In lA)$teps

.d. 16.0 to 2/).0 In 2.1, stepse. 0.25 to 3.5 in 0.25 stepsf. 4.0 to 6.0 In 0.5 steps.' Pri""S 1/2, 1, 2,$;4,5,6,8,10,12,

a. 0.25 to 4.0 In (US stepsb. 4.5 to 6.0 In 0.5 stepse, 1.0 to 14.0 In 1.0 $t9pS

d. 16.0 to 20.0 In 2.0 stepse. 0.25 to 3.5 Itt 0.25 stepsf. 4.0 to 6.0 in o.S stepse. Prisms 1l~.1.2,3/4.5,&.8,10,12.

COMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPt,yCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLY

PHYSICAl. DESCRIPTIONPHYSICAL DESCRIPTION COMPLY

Republic of the Philippines.Department of Health

TECHNICAL SB.E.CJFJCATJON,$SUPPLY AND DELIVERY OF VAR10US MEDICAL E,QUt-PMENT SET Z

182021-0118 _

. i

.. J

1

I PiOCURING ENTiTY BIDD£R'S OFFER

Spttifiea.tiOB as Tethnitai Offer Specification as Tecb~CAI OtTerDUJ.DER'S

ST AT.EMEN'I o.FCOMPUANCf

ITEM 16: 1 UNIT Ophthalmic Ultrasound SqtnnerABC: PHP 1,400,000.00

~~----------------------------------~--~~--~--~--~~--~~~--~-T--~~~~--;It is a ncn-inv.a$ive tool for diaanosinJllesl.ons of COMPL Y~he anterior and posterior segment of the eyeban.

It is a non-invasive tool for diagnosing lesions of the anteriorand peste rlor segment of the eyeball.

[UNIT Ophthalmic Ultra.sound Scanner!ABC:PHP 1,400,000.00

COMPLY,,1II

.i

Networi<.1tnd Connectivity1. Five USB 2.0 ports for memory stIcks and peripherals2. Built-In multimedia reader3. Fullv network and printer ready /gigabit £thernet~4.' Windows XI' operatlng system or highers. Multilingual user Interface

Data Maliagement1. Dkom Connectivity:a.~i~n of I'TItIltipleconcurrent DICOMc' ''Ctio,",s'tOotherApplicatlOl\ Entrtlesb, "-Wary/ r~trlevaJ of modalfty work (1st(pattern dataf'ormElectronieMQdital Records -EMR)c. Storage of encapsulated PDF (ePOF) tep(lrts2. Data archiving and Image/movie export capability3. Customj;ced report ell paoifit'{

Hatdware ):eatllres1. Guilt-in OVQ-burner2. Removahle one terabyte hard drive3. Wrde screen, 192G ~ 1200 high resolution monitor

II _

ttCHNfCAl DESCBIPTlQN

N~twork.aM CQrme.ctlv1ty6. Five USB 2.0 ports for memory stlei<.sand

peripherals7. 8uilt-in mUJtlmedla readera.Fullv networ)(,nd printer rea4Y (gigabit

Ethernet}. 9. Wifldows XP ope:ratlng system or higher

10. Multllfngualuser interface

Data Management2. meom Connectivity:a. Verification of multiple concurrentDICOM connections. tootherApplication Entities.b. Opervl retrieval of modalttyworklist: (patferrt dam farmEMctranlcMedlGalRecords - EMR)·c. Storage of encapsqlated POf (ePOF} reports4. Oats a~.hl\llngg.fid ima~/!noVte export

capabnlty'5. a.tstomfzed report capability

Hardware !=eaturesA_ D......:'1t a .... D"'-'Q b .......~r

COMPLY

COMPLYCOMPLY

COMPLYCOMPLY

. COMPLYCOMPLY

COMPLYCOMPLYCOMPLY

COMPLY

COMPLYCOMPLY

COMPLY



Specification as Tecllnical Offer

iA-ScanModule'Freij'uenC-j: 10MHz Of 11 MHz Ele...<"fronfcResofutlon: atjean 0.016 mmImmersion or contact measurement modenmegain!COntro': 0-30 dBDynamic range: Adjustable from 20 to 110dBMeJs\lrement$ ACO, lens thickness, veo, axlaJ lengthOl Formulas Hoffer Q, Holladay I, SRKII,SRK/T,81nkhorst" Hatgls, Shammas

&oScanModuleFrequency: 12 MHl or 15 MHz5can Angle: atesst50"

~al Resolution!at 'east 0.015 mm Lateral~Iution: at least 0.040 mm256 scans per frame!'t .. lle 88in control: O-SO dBDynamic range: Adjustable from 25 to 90dBImage post processing tools: .calipers, areas.,markers,,matt

SpeeilieatioD ll8 TeclinitJii OfferBIDDER'S

STATEMENT OFC()MPLJANCE

COMPLYCOMt"DLY

COMPLY

COh.4PLY

COMPLY

COMPLY

COMPLY

COMPLY

COMPLY

COMPLY

COMPLY

COMPLY

COMPLY

COMPLY

COMPLY

C~UECOPY I~ t.

~-Stan ModureFrequancy~lDMHz or 11 MHzElectronic Resolution: at lea$t 0.016Immmmersion or contact measurementmodeTime gain control: ()"30 dBDynamic: range: Adjustable from 20 to110dBMeasurements ACO, lens thickness,rvCD, axial length~Ol Formulas Hoffer Q, Holladav I,IsRKU,SRK/T, Binkhorst II, Hatgls,~hjJmmas

la-Scan ModuJel:,equenqi; 12 MHz or 15MHzScan Angle: at leastSO"AxialResolution: at least 0.015mm Lateral Resotution: at least(l.O40 mm256 scans per frameTime gain control: 0-30 dBDynamic range: Adjustable from 2S

mage post processing tools: calipers,areas,markers, comment

1- ces.'-i '.•-l-It)l<.I;;:';V:>fti"'" tJ'~-;T...._ ... ~.i~fir)f(: ll,J,C.

i 1':J rh~( r~'_ ' ~:,. \~~I~f~"\;k~ ':,; .~' I

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E-NLU' ;'!)C1H!:;S 11:')" t I.)et"\d:;:edsal~s@,mtC;:Y1!cale.cOJi1 \ I

mtc.jhel:'J_cabre, a@gtnl!liLco.\i -1-182021-011B_ SUPPLY AND DEUVfRY OF VARiOUS MEDICAL

._--_.--_ .._--

PROCURING ENTITY BIDDER'S OFFER...._-

8IDDER'SSpeclfieatiotl as Tethnical Offer SpecitkiltiOD as Tetbnical Offer Sl'A TEMENT Of:

COMPLIANCEUTfUlY REQUIREMENTS UTIUlY REQUIREMENTS COMPLY

Power requirements: Electrical Requirement; 2[)()"240 VAC Power requirements: Electrical COMPLY+/. 10% single phase ...gro~nding, SO/60Hz Requirement: 200-240 VACBattery operated: NA +/- 10% single phaseProtection:NA + grounding, COMPLYPower consumption: to be specified by vendor SO/60HzBattery

COMPLYoperated: NAProtectiomNA COMPLYPower consumption: lOOVA

COMPLY

CE~taoiA'-S-~AUTHCr. ,'-!"t P.t:;I.p!;$~ ... r,.TIV~

1 M r c OPT0· M'i;!f.I~~ INC.l 179 ,~A!('.'•. .: '., .'-;,,1 :ITY• 1",1 nOHOl'H.'.O T ',,\i ,'" ::. M.'\NILA! IE\.. rIG;;. 0' • is:, I ,( 55

f ~ihlj_ Avtmtss IES:sa;? s@"ntceYe--ccr~·.com

'TI(C.JhClf<l.<abrel [email protected]

Cer!~i....u tnoU;l C~ ~IB2021-01l.B_ SUPPLYAND DELIVERYOF yA~~US ~ ~~~4 2

.~. .~

PROCURING ENTITY BtODER'S OFFER

Specitieation as T~hnical Offer

ACCESSORIES, CONSUMABLES, SPARg PARTS,OTtlERCOMPONENT

1. Ink jet US! Printer with continuous Ink (outsourcedby theend-user): ISO standard2. Uninterrupted Power Supply; at least 150 % ofequipmentpower capaCity3. Two (2) units Stools, adjustable

Color & Material: black leatherfoamHeight: At feast 48-60mm (sitting. area)S wheel with 360 degrees aajustbale swivel chair with

~gas

- Radius: at least 35cmThickness: at least7.5cm

II ~RUEC~~

ENVIRONMENTAL REQUIREMENTS

Operating Condition: The temperature of the room where the--''lice isoperated must be withtl\ the following range: 10 ·C <; T"

..15°C{50·F <T" < 95"F} The relative humidity must not exceed95% without condensation. The Device storage and transporttemperature must be within the range': -20"C < 1" < 70 ·C (- 4·F <r< 15Sor::j_

Storage condition: NA

Dislnfectiol\: Parts of the Device that are designed to come intocontactwlth the patient or the operator should either be capableof easy disinfection or be protected by a single use/disposablecover.

Bf.DDEJl'SSTATElVLENT or'COMPLlAN(:ECOMPLY

COMPLY

COMPLY

COMPLY

COMPLY

COMPLY

COMPLY

COlvfPLYCOMPLY

COMPLY

COMPLY

COMPLY

COMPLY

DELIVERY

30 to 60 daysfrom the receipt of Purchase Order.

Before delivery, supplier must cal! the Materials ManagementSectionfor delivery roordlnation to avoid non-acceptance ordelav in acceptance.

~fore delivery, supplier must can the MateriaJsIManagement Sectlonfor delIVery coordination toavoid non-acceptance or delay In acce,.Pt:"':nce:::.--+----7-

\- rl"t"$";flp('i PiV:~t)Y t

ACCESSORIES, CONSUMABLES.SPAREPAm, O'rH£RCOMPON£NT

.1Jnk jet US! Printer with continuous inkoutsourced by theend-user): ISO standard2.Uninterropted POWerSupply: at least150 % of equ'lpmentpawer capacitY

3.Two (2) unitsStools, adjustableColor & Material:black leather foamHeight: At least 48-60mm (sitting area)5 wheel with 360 degrees adjustbaleswivel chair with gas

Iffl:Radius: at least 35cmrrhickness: at least 7.5cm

! . ···--·CESi\R4iASf: .(HlH-IOIUZr:O~~~;i~~:f!Vf !t ·/1 TC <) P!O '. [,l'F"C' '_:, INC. I

!"IS YM.'\\ c.. '. ",,\1;:, ·1 -:IT { !,';.1 [\ctl.:nr~u.o ··i. '.;.l ;!<' ). ~'·'·'H,4. I

f'EL ,"I{:;;;. (it_;--..1..1.4 t C .5~tfi. Nl.,\ll.. A0 [:..r) [55 'ES; [email protected]~eca~e.cOIH ji

-'"' -.·ENVtRONW,IUTJi.i" Dent . ,~ J

Operating Condition: The temperature of theroom where the device Isoperated must be withinthe following range; 10 QC< TO < 35 ·C (SO'F<T" <:95-1=)The relative humidity must no1:exceed 95%w{thoutcondensatlon. The Device storage and[ttansport temperature must be within the range: -20 "C<:r -c 70 .q-4~ <T' < lS8°f).

Storage condition: NA

Dlslnfectlon: Parts of the Device that are designed tocome intQ contactwlth the patient or the operatorshOuld either be capabte of easy disinfection or beJlrotected by a single use/disposable cover.

DELIVERY


CQMPl..-Y

COMPLY

COMPLY

-_ .._-_._--------_._-------.--

TRAiNiNG, INSTAllATION &. UnUlATlON

Acceptance and Maintenance;A. During acceptance: The suppffer should conduct actualtesting (Qualitative and Quantitative Test) usingcalibrated analyzers or testing devices. Witnessed by eeend users and the technical inspectors,

a. V~lid certificates of theTechnic1ans/Engineers to conductservice/maintenance

b. Vatid certificates of calibration of theanalyzer and testing equipment.

c. Provide Service Report per unitd. Calibration Certificates or equivalente. Acceptancef. Preventive Maintenance Cal~dar

!t'(NOTE.: PROVIDE AND ATTACH DOCUMENT To PROVE.~T THE ABOVE MENTIONED ARE COMPLIED SUCH as

I..ff.}" ..

a. List of the Engir)eers/TechI'Hclans with theIrcertificates to conduct service and matntenanceQ. list of the Analy'Zel's/T esting too~swith thai,Brand/Model/Serial No. and its valid certificate ofeaIlbratlon)"1;. Sample/Template of Service report andCalibration certificate or equivalentd. Sample/femplate of Preventive MQinten~nce Stickere. Sample/Template of PreW!ntlve Maintenance C...endar

I

TRAINiNG, INSTALLATION & UTILIZATION

Acceptance and Maintenance:A. Ouring acceptance: The supplier shouldconduct actual testing (Qualitative andQuantitative Ten] using cafibrit~d ana/~'lersor testing devices. Witnessed bV the endusers and the tethnical inspectors.

g. Vafid certificates of theTechnicians/Engineers to conductservice/maintenance

h.Valid certificates. of calthrationof tne analyzer and testingequipment.

i. Provtde Service Report per unitJ. Calibration CertrrtCates or equivalentk, AcceptanceI. Preventive Maintenance Calendar

"(NOTE: PROVloe ANO ATTACH DOCUMENTTO PROVE THAT THE ABOVE MENTIONEDARECOMPUED SUCH as the ft)"f. Ust of the fngJneers/T ec:hnidans withtheir certtftcates to conduct service andmaintenanceg. list of the Analyzers/Testing tools withtheir Brand/Model/Serial No. and its validcertificate oft:atibratiOti)lIh. sample/Template of Service reportand calibration certificate or equlvalenti. Sample!1emplate of Preventive

Malntenance StickerSample/Template of Preventive MaintenanceCalendar

COMPLY

COMPLY

COMPLY

COMPLY

COMPLY

COMPLYCOMPLYCOMPLY

COMPLY

COlvfPLY

COMPLY

COMPLY

COMPLY

COMPLY

COMPLY

COMPLY

t CERTIFtEO TRUE COpy t\ _ c:::2, .,

vQJW

,-(JJ.<:U.-- --- ,.182021-0118_ SUPIi>LYAND Df:UVERYOF VAAl MEOlCAl EQUIPMENT SET2

·eqillrements fur ~-off; SyppJier to perform jns~!J~t!oni samtynd OF'lratloll eheeks before handove-f. local eli..,ical staff to affirm . qUiremenu for sign-off: .suppli4il-r toompittlon of installation. rform inmllation, safety and operation

ks before handover. local elinicai staff

requirements: Availability of S Amp/15 Amp.

raining of staff (medical, technicians): Training of users in operationnd basic maintenance shall be provided. Advanced maintenancesks required

shall be documented.

re- InstaUation requirements: Av;,ilabUityf 5 Amp/15 Amp. Electrical Socket

raininJ ot staff (medical, technicians):raining of users in operation aM basic

Intenance shall be provided. Advancedaintenallce tasks reqUired

hall be documented.

COMPLY

COMPLY

COMPLY

COMPLY

AUT HOf<JZHl B _'Yf. :'~ -:~in\!EMT(: OF";" r ';l:' ." tN~;~.

, " ., ), 'o? ,~'o£ .. .... t 1 1" ,.'

I fiSi Pt:lHQ1!1' '. !;, ': i~lILI,.. retuflC.J 1..,1"" 1 ,,1··: :';

E-MAil. Ai.)!/7'f:",;; r~.,saj~s.('~lnt C': Ie csr e, V:"lll

mt.;:. slta( d, ;,a:!:1('~:.:~~9!l1"J':C'111\

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182021-0118_ SUPPLY AND DELIVERY OF VARI US

CERTiFIED TRUE COpy~. J

-, "---'.- . -~~ PURCHASE ORDER~ BATANGAS MEDICAL CENTER"

s.pplkr. ZHUJAR MANUF ACTL:RING INCORPOR.t\, TlON P.O. No. 21-10-()301

Address: 61 Kaingin Road B!1!l' Aplonio Samson, Ibte: October 19, 202 I

Quezon City

, TIN: 133·514-356-000 Mode of Proc:.rement! PB July 2021


Place of Deliver)': Bataaps Medical Center Delivery Term: NO P.O., NO Acceptance

Date of Deli very: 60 days upon rece!~ of PO Payment Term: 30 days upon come1ete delivery

Stock}


PIECEDoctors gO\"TI whi .e.t 00% colton ,65x41 inches.

100 549.00 54,900.00Secured with primed logo and number

Pillowc~HEA vv OXFORD FABRJC.emeraldPIECE green. 18x40 inches, Secured with printed logo and 75 240.00 18,000.00

r number..

Pillowcase.HEA V Y OXFORD FABR.IC,navyPIECE blue, 1&x40 inches. Secured with printed logo and 50 240.00 12,000.00

number

ROLLfabric rnicrofiber, -vater repellant.moss

6 4,800.00 28.800.00green/emerald green.for cubicle curtain

ROLLFabric KATRINA,;Jvocado green, for charity ward &

2 4,500.00 9,000.00cubicle curtain

ROLLFabric spandex.powder blue.80 yards per rol I.for

6 7,900.00 47,400.00K1v1C rube & cap

ROLLFabric spandex.baby pink.80 yards per roll.for KMC

6 IV> -- 4+,400,(;10tube & cap iBata'no;_" N 1f:,r~:"~1 I'",nt.'"

RlHI~'lio:f~J.rJ ,I ("',t\1 ~n1~(Total Amount in Words) - ~~-'I case of failure to make the full delivery within the time specified above. a penal ~Ofo..,_w;.~~t.;M percentor

.~ .Cr) day of delay shall be imposed on the undelivered item/s. By '. RosaI' .. ~ '.~, '

l );Ite ."'{""7";} :Jj,'f 'jEjJVery truly yours, '111118

I siss. _

~~

RAMONCITO C. MAGNAVE,MD,FPcs,l\UlAMedical Center Chief II

Confonne: CLlI~\(A-I~ '>\1"- Hi " 1'\ O~:~T1/~.-·~.:s: t:

Signature over printed name 01 Supplier

Dale n0 \jl

C.·\RML~A C~CASTILLO,CPAAccountant 'V

;,~~,~',,'..' . ~[. ,~.~{.',,_, ,",.;' '} ./:~ ."~ . . . L f) it" ~

fund Cluster: , _,'

. i' ORsmuRS No.:

Funds Available:Amount:

........~~. "i, .c, page 1/1

.....,l;...

DOH Government A,CMli~g Manual

rz.u vi w..-{ 1,,'-/ ~ ~WfJ'f0 --'V] "'~I

,,'

. . ........ _ "' __ ', ''':".p''

PURCHASE ORDERBA TANGAS MEDICAL CENTER'

Suppl~r. ZHl:.JAR MANUFACTURING INCORPORA nON P.O. No. :-:1-IO-(l301

Addl"eS$: 61 Kaingin Road ST'. Aplonio Samson. Dale: October .19, Z021 .

Quezon City

TIN: 2;3-514-356-000 Mode of Procurement: PB July 2011

Gentlemen:Please furnish this Office the :Oil0\\ ing articles subject to the terms and conditions contained herein:

Place of Delivery: Bablogas Medkal Center Delivery Term: NO P,O .. NO Acceplance

Date of Deli ...eo ; 60 days upon rC(;,e~ptof}>O Payment Term: JO days upon complete delivery

Sti)(;k'

Property Unit Description Quantit), Unit Cost AmountNo.

Balance forwarde.t ~ 17 .soo onFabric printed .ca'10011 character design.canadian I

ROLL cotton, 131x96yatd.s., 'or pedia ward4 17.000,00 6S.00Q 00

PIECE Magic pillow.I 8}-28 inches 1.000 134.00 134,OOO.()O

Lazy boy. 100'% '",)"00 fabric with stripe. forPIECE ONCOLOGY .1 kX I to inches, with garter Secured 100 Q9(}.OO 9Q.'iOO 00 I

with logo and nuiiber

1>r\CK .Sewing machine r~coole. # II and # 14 2 25t),Ot.) 500.00

PIECE Marking pencil.d-rmatograph 20 3QOO 780.00

!)iECE [Sewing scissor 1 tWO.()(J 80{), 00 trile!:: 801;0\'>11'1 (;,\.<;e :1 4~.O() 98,(1) I

PIECE Bobbin winder 10 7.90 79.00

PACK Hand needle I 21.00 ._ .__ ..2..Lllil \~

Bat a ra.J.:'61)~ e:l:r'al Cel'qS.OoPIECE Tailortxi nipper 2 \G-~~1f,QrotC N :,/,\) ~~7-i6.00 I

,.--, (Total Amounr in Words) Fn'e hundred twenty-oae tbougnd sevea Iluodted tweDth'r~.F.1!JlIN::,r,

In case of failure to make (he full delivery within the time specified above, a penalty y,,"~~oe -"0-of one-t~nlh ( ~ . t OOIt" qtl~~rc':!lt Ii r

cW~' da) of dela:>shall be imposed Oil tl',e undelivered item/so Bv . ~--I',;,;'! . ~ 0- :JJJ2) _

Very frol)' YOUr'S. '·1 II II Co If:J.t ..---- ,."___~ ==--_____..,.

\R4.MONCITO C. MAGNA \'E.Mo..fl'(~S.MHA


,I

tISignature over printed name- of Supplier

Date Dc; vn

Amount: 511,726.00

tl·

pal..'"t' ::",2 1L-----------------------------------------------------~----~()o~f~i~G~o-v-e-n-lIl-~-n-t~A~~-..-()-\l-ot~in-g-.~M~a~n-"~a'~-l

CARMlNAC. c~stILLo,CPAAccountant IV

ORSlBURS NQ,:hmd Cluster:

Funds Available:sr.:

• ;," ',\ ~...... .~•• 1#

...........

-,, r>. /\PURCHASE ORDER .' ~, ~

j I- BATANGAS MEDICAL CENTER ,...... ,!

n..1

JANALEC ENTERPRISES,:

Su pplier: P.O. No. 21-10-0300~Address: 1754 Rizal Ave. Sta.Cruz, Date: October 19,2021iiManila, Metro Manila, NCR, Philippinest

TIN: 115-736-555-000 Mode of Procurement: PB July 2021 i

li

Gentlemen: ,Please furnish this Office the following articles subject to the terms and conditions contained herein: t

iPlace of Del ivery: Batangas Medical Center Delivery Term: NO P.O., NO Acceptance 'I,

... ",

Date of Del ivery: 60 days upon receipt of PO Payment Term: 30 days upon complete delivery " '1',;~.

Stock! ,.~... ,

Property Unit Description Quantity Unit Cost AmountNo. 0

;-.

Bedsheet fitted, white, I00% cotton,minimum of200 :

PIECE thread count,36x78x6 inches Secured with printed logo 2,000 450.00 900,000.00and number ,Bedsheet fitted, white, I00% cotton,minimum of200 I,

PIECE thread count, 30x48x3 inches (crib cover)Secured with 100 375.00 37,500.00 !~....--..., printed logo and number !Bedsheet fitted, white, I00% cotton,minimum of 200 ~ ~r

PIECE thread count, small,24x 14x3 inches(basinet cover) 100 185.00 18,)00.00 ~.Secured with printed logo and numberBedsheet fitted, white, I00% cotton,minimum of200 ~jPIECE thread count,big,28x 16x3 inches (basi net cover)Secured 100 185.00 18,500.00 .."!

with printed logo and number ;

\Bedsheet flat, white, I00% cotton.minimum of200 thread ,

PIECE count, 45x72 inches Secured with printed logo and 1,500 380.00 570,000.00 lnumber J

I

Patient gown,white,adult, IOO%cotton,straight back gown !!

PIECE with tie closure at the neck and back,40x57 i~~_~s____ __bQQ.Q 450.00 900,000.00 ,

Ui~~T\,

Secured with printed logo ~nd ~Wfter as 'V1eci:'~:.31C::'e ~i

P~tien.t gown,whit.e, IOO%~ot~~~JR~r~~J~t~a~ ~?~l ~,with tie small.straight bacl g ~l ~ I sL e at the' 1PIECEneck and back,20x35 inch s secureRE'~~ [' 100 250.00 25,000.00 .'

JI

and number ~ ~. 1t-:" "_:J

Gv y, SUB TOTAL 2,469,500.00,

.';(Total Amount in Words) III ()tJ J ,qAJ:JJ -I i .·I~e ,. f f

111118 '~'.~ _ "";'.'

In case offailure to make the full delivery witl in the time specltieci above <I npn<llh. of one-tenth (1/10) of one (I) percent for:

every day of delay shall be imposed on the undelivered itern/s,,

{l/fof' /?ft{Ji+pg-1.

Very truly yours, j/L';~

RAMONCITO C. MAGNAYE,MD,FPCS,MHA

~~Medical Center ChiefIl

Conforrne: ~27 OCT 2021 ,,)

Signature over printed name of Supplier ,Date ~ ?Cf,20PI

Fund Cluster: 01 ORS/BURS No.: ()Q -101101-!.tI2/ - lo-ccoLfR : .~. Funds Available: ..

«»: Date of the ORS/BURS: O'")T n ,.,~O21u~!Amount: r..,u7:.J

~ -aco'"' ~©&l1~~AC.C LLO,CPA~ ~ ccountant IV /0 I(gI ~"J.I .c.:ft f.," .' .J , ')()" ., page 1/6;..::... - .a: L...<

~/J'J.-(DOH Government Accounting Manual

Y: - ';Y..--77 -- - -

I

.>'Vr''I'f~

------------------------


21-10-0300Supplier: JANALEC ENTERPRISESAddress: 1754 Rizal Ave. Sta.Cruz,

Manila, Metro Manila, NCR, Philippines

TIN:

P.O. No. --------Date: October 19,2021

115-736-555-000 Mode of Procurement: PB July 2021

""1

' ~

.. \


Place of Delivery:

Date of Delivery:

Stock!Property Unit

No.

Batangas Medical Center Delivery Term: NO P.O., NO Acceptance

Payment Term: 30 days upon complete delivery60 days upon receipt of PO

Description Quantity Unit Cost Amount

Stretcher cover,white, 100% cotton, 24x78x4 inchesS d wi h . did b 200 425.00 85,000.00 ~S:r~~:~er:l~v!:~~t:74~!~na;he~,u; e: r LU .--~ -l-C-t' ::f-1 , "l

. MecJ·.8 en '-' ;.;;!fabric.emerald green, 75% polyesu r ancf2a~13S~SIO~ "I ')- \\[ 1~8JDllr 425.00 21,250.00 iSecured with printed logo and nun:peCOMI l'l \ . 'i

Stretcher cover,36x74x4 inches, he vy oxfo~~~~ ~JFn ,Jblue, 75% polyester and 25% cotto , secure~~~~'<'_'5lf 425.00 21,250.00 f

l~~ __~L_ ~lo~g~o_a_n_d_n_u_m_b_er 1-~~__~,_r~~~~~~'V~~;-~==~~~~ ~t

~~~~ __ ~~~77 -++~I~'~Lp~J="~'~~II~J'O~~~~1:2~';n~I~~1~~~~~JB~~O~T~A~L_L__ ~3,~44~2~,O~OO~.O~O~(Total Amount in Words) I 111\(0 11:,i5 _--

PIECE

PIECE

PIECE

PIECE

PIECE

PIECE

PIECE

Balance forwardedPatient gown,white, 100% cotton,medium,straight backgown with tie closure at the neck and back,28x38 inchesSecured with printed logo and numberPatient gown,white, 100% cotton, large,straight backgown with tie closure at the neck and back,34x40 inchesSecured with printed logo and numberOR Gown, 48x70 inches, heavy oxford fabric,navyblue,75% polyester and 25% cotton Secured with printedlogo and numberOR Gown, 48x70 inches, heavy oxford fabric, emeraldgreen,75% polyester and 25% cotton Secured with printedlogo and number

100 325.00

2,469,.'i00.OC

32,500.00

32,500.00

390,000.00

390,000.00

100 325.00

500 780.00

In case offailure to make the full delivery within the tit'fie'SpeciTIed above, a penalty of one-tenth (1110) of one (1) percent for'every day of delay shall be imposed on the undelivered item/so [

I~>

.~'

Confonne: ----:t~-~__,___VI-\.....-OO-~--_(1frlJ_&_(Y>s_~__

500 780.00

Very truly yours,


Medical Center Chief II 12 7 OCT 2021

Signature over printed name of SupplierDate cxr· Q£i:\ \ '2O'J.--)

Funds Available:QI O~· IOI(Q-'2tflI- {b'"(SlJl)j&

OCT 25 tQ2J.Fund Cluster: ORS/BURS No.:

Date of the ORS/BURS:

page 2/6

i.,~I.I,~.

'" - ... ~S "':' 1

,.

~CARMINA yelSTIiiO,CPA

~V

Amount:


,-..__ --PURCHASE ORDER I

BATANGAS MEDICAL CENTER.~

Supplier: JANALEC ENTERPRISES P.O. No. 21-10-0300 · ~~I

Address: 1754 Rizal Ave. Sta.Cruz, Date: October 19,2021 I;

Manila, Metro Manila, NCR, Philippines i

~TIN: 115-736-555-000 Mode of Procurement: PB July 2021


Place of Delivery: Batangas Medical Center Delivery Term: NO P.O., NO Acceptance -- IDate of Delivery: 60 days upon receipt of PO Payment Term: 30 days upon complete delivery J

-{Stock!

... I~ ~

Property Unit Description Quantity Unit Cost Amount · ,. ~No. t

Balance forwarded 3,442,000.00 f'.

Instrument pack cover, 43x55 inches, heavy oxford fabic, \PIECE navy blue,75% polyester and 25% cotton,for minor OR 50 575.00 28,750.00 !

Secured with printed logo and number 'IInstrument wrapper double layer,32x55inches,heavyr>. PIECE oxford fabric,emerald green,75% polyester and 25% 75 480.00 36,000.00 f:

cotton, Secured with printed logo and number4.f;

~Linen wrapper A, 18x 18 inches, double ply,heavy oxford tPIECE fabric.emerald green,75% polyester and 25% cotton, 150 275.00 41,250.00 f

Secured with printed logo and number H ., ~

Linen wrapper B, 22x22 inches, double ply,heavy oxford ~,d~

PIECE fabric,emerald green,75% Secured with printed logo and 150 325.00 48,750.00 ~,~number

;;· .. r,

Linen wrapper C, 40x40 inches, do hlp nl hp""" ,wfnrLl, ~

\I

PrECE fabric,emerald green,75% polyester nd 2~ten~s Mer icall()~ntc 360.00 54,000.00 ~Secured with printed logo and numb er COMI SSION ON ALJD T ,,

PLECEPillowcase,white, 100% cotton, 17x 7 inches~Er~ E·vEl') 175,00 35,000.00with printed logo and number

r c SUB 1OTAL 3,685,750.00 I, I

(Total Amount in Words)U) ,

J1l'n1li 1/ .. <11 j{ ":"0 ,

-.;

~case offailure to make the full delivery within the tilrei5'P~ifif'..d...aI:-Lo " ...",n"J,;»rmo t nth (1/10) of one (I) percentfor ;e, ~(y day of delay shall be imposed on the undelivered itt:III/:>.

'_ I, -1-~

( ~,,

~()Very truly yours, VV ~",

RAMONCITO C. MAGNAYE,MD,FPCS,MHA [Medical Center Chief 11 .2 7 OCT 2021 ir> ~

~~1-1\II\J) {t- P-h'[JIr~ ~

Conforme: ISignature over printed name of SupplierDate tLr· ':F1, 'JJ)}1 ~,

fFund Cluster: QI ORS/BURS No.: (J1- II71IO(-!J02/-10"fJ3lHi5

• .-"r;

~Funds Available: Date of the ORS/BURS: O"T ;; ,.' t'\821

"

!

CARMINA ~'CPA

,Amount:

,V u.(;.· .~~

~' ~~~

Ocr; ~-'

!Accountant IV IO(lq)~~ ~ page 3/61

DOH Government Accounting Manual !"

,,I.1.~

~ PURCHASE ORDER r-' · .,

BATANGASMEDICALCENTERI

Supplier: JANALEC ENTERPRISES P.O.No. 21-10-0300

Address: 1754 Rizal Ave. Sta.Cruz, Date: October 19,2021!!


TIN: 115-736-555-000 Mode of Procurement: PB July 2021· .,


...i


Date of Delivery: 60 days upon receipt of PO Payment Term: 30 days upon complete delivery


No. '1Balance forwarded 3,685,750.00 ,

CS pack cover,32x55 inches, heavy oxford fabric,navy · ~

PIECE blue,75% polyester and 25% cotton, Secured with printed 100 550.00 55,000.00 !logo and number ' .JDR table cover with garter,43x75 inches, heavy oxford .i

~ PIECE fabric,navy blue,75% polyester and 25% cotton, Secured 50 500.00 25,000.00 ~

with printed logo and number " .Recovery bed cover, 30x78x4 inches, heavy oxford fabric,

PIECE emerald green,75% polyester and 25% cotton, Secured 50 600.00 30,000.00with printed logo and numberCosmetic surgery sheet with hole, I02x60inches, heavy

PIECE oxford fabric, emerald green,75% polyester and 25% 30 700.00 21,000.00

:1cotton, Secured with printed logo and O)mb~ f_---_

~;T1000'lecJ:~al eelOrthopedic sheet, 60x45 inches, heavy xf Po l,argas ;

PIECE emerald green,75% polyester and 25%' ot~, L~~I~~ <?t)J. AL 56,250.00 Iwith printed logo and numberbric,emB~ ~_ ~D ,jApron, 15x20x26 inches,heavy oxford f ,

PIECE green,75% polyester and 25% cotton, S c5rcJ with Iy ...175.00 18,750.00 ,

printed logo and number 11-:;11" I/}()I/h DI ;,

'1 1111(" t5~~SUBTO AL 3,891,750.00 - .

(Total Amount in Words) -I

.1 case offailure to make the full delivery within the time specified above, a penalty of one-tenth (1110) of one (I) percent forevery day of delay shall be imposed on the undelivered itern/s.

Very truly yours, Yv '1

P~~MI

.~!

RAMONCITO C. MAGNA YE,MD,FPCS,MHAI.

i~

~ff~Medical Center Chief II 2 7 OCT 2021. i, ,

Confonne: " " ."Signature over printed name of Supplier

Date C4- ~I <)1))-(

Fund Cluster: QI ORS/BURS No.:- Q2- ""'" rI'''2!- lo-lf/!it>Otg 1Funds Available: Date of the ORS/BURS:

~

Amount: eel :2 b 2021 .i;

CARMIN~'CPA t1co icountan Jt/[I~J~~ ~

i~

page 4/6 JDOH Government Accounting Manual

- -r<;

PURCHASE ORDER ------BATANGAS MEDICAL CENTER .'

Supplier: JANALEC ENTERPRISES iP.O. No. 21-10-0300 .. '.....

,',,

Address: 1754 Rizal Ave. Sta.Cruz, Date: October 19,2021Manila, Metro Manila, NCR, Philippines

TIN: 115-736-555-000 Mode of Procurement: PB July 2021 · .i


Place of Delivery: Batangas Medical Center Delivery Term: NO P.O., NO Acceptance ,

Date of Del ivery: 60 days upon receipt of PO Payment Term: 30 days upon complete delivery

Stockl ·..IProperty Unit Description Quantity Unit Cost Amount ,j,

No. .~Balance forwarded 3,891,750.00 ,

.INeuro sheet,double layer,41 x56inches,heavy oxford

PIECE fabric,emerald green, 75% polyester and 25% cotton, 75 575.00 43,125.00Secured with printed logo and numberAnesthesia Eyesheet 30x30 inches, heavy oxford fabric,

~ PIECE emerald green, 75% polyester and 25% cotton, Secured 30 325.00 9,750.00with printed logo and numberLeggings, 18x40 inches,heavy oxford fabric,navy .,~

PIECE blue,75% polyester and 25% cotton, Secured with 100 400.00 40,000.00 ,•printed logo and number .ILeggings, 18x40 inches,heavy oxford fabric.emerald · .1

!PIECE green,75% polyester and 25% cotton, Secured with 100 400.00 40,000.00 ' -I

printed logo and number ;~!Fabric.emerald green,heavy oxford,60x '" c, AD

ROLL nel:Jic.~1 Ce: 6 ~pO.OO 32,500.00surgical towel & eyesheet Batangas ~ lier ,

~OfYlISSI( N ON AI UDIT · .'ROLL Fabric yellow gold,oxford,60x60 meter ,fo tray 1I1111g I 6,5 pO.OO 6,500.00 ,

ROLLFabric dark brown,heavy oxford,60x60 meters, fR E C ~EC 6,5 po.oo 13,000.00hamper of station & special area ",,£tjy " AL 4,076,625.00,Jr.! ,...\.01 1: ,/ "",'1-."" u .0 v

v--fTotal Amount in Words), I. ~

1 . .' I~::I~ 'ir t l case offailure to make the full delivery within the time 'I""'

.,...allll ''', a tJ"1I0"'y V VIII:;-Lt:;1l1(1/10) of one (I) percentfor 11

every day of delay shall be imposed on the undelivered itern/s, .. ,I ~

, :1

~~~~

Very truly yours, Y'-I 1.• j

iRAMONCITO C. MAGNAYE,MD,FPCS,MHA

~

Medical Center Chief Il 7 OCT 202t ,

Conforrne:

Signature over printed name of Suppl ierDate oa.1A,~

Fund Cluster: nl ORS/BURS No.: 0'2.- (rn/Ot ..~, ICYtnr»c.{& .1Funds Available: Date of the ORS/BURS:

Amount:.OCT 25 2021'· .,

, i

c~ a'''/I

Ij

, ., 1CARMIN~,CPA OC(}

~!ccounta IOllq/~~

page 5/6 ~.~DOH Government Accounting Manual

Supplier: JANALEC ENTERPRISESAddress: 1754 Rizal Ave. Sta.Cruz,


P.O. No. 21-10-0300



TIN: 115-736-555-000 Mode of Procurement: PB July 2021



Date of Delivery: 60 days upon receipt of PO Payment Term: 30 days upon complete delivery

Stock/"

Property Unit Descri pti on Quantity Unit Cost Amount-

No.~

Balance forwarded 4,076,625,00 i. ~

ROLLFabric,navy blue,heavy oxford,60x60 meters for OB

4 6,700.00 26,800:00Complex towel,eyesheet & tray liningROLL Cacha fabric,60x60 meters,for roll towel 4 5,200.00 20,800.00

· ,

4inl Bedsheet Set,printed, for personnel use blue and · .,_..--..,_

SET pink,fitted-36x75x6inches,flat- 45x72inches,pillowcase- 50 2,000.00 100,000.0018x28inches Secured with printed logo and numberPersonnel gown,printed,adult IOO%cotton,straight back

PIECEgown with tie closure at the neck and back, 40x57

50 550,00 27,500.00inches,blue and pink Secured with printed logo andnumber .,

ROLLGrommet tape,3 inches gap, stainless steel,44yards per

20 1,500.00 30,000.00roll " -ROLL Garter,white, 3/8 inches I --t---r- 750.00 750.00

Batangas Mecl:~al CenterROLL Velcro tape, 4 inches, gray or IlaceONlISSIGN O;'J AU~IT 500.00 500.00

PALR Curtain end pole, I inch,stainle s

R~oCE~~:D50 100.00 5,000.00 · ,

, .1"-'. · .

PAIR Curtain rod holder, I inch,stain ess ~ 50 100.00 5,000.00ByPIECE Curtain rod, I inch,stainless I );it~ ~ 'J~ 1/ il.lJlruJ1Ji. 1t21 .ino. 450.00 45,000.00

'1 '0 ,,3: ,~~trKA ~D TOTAL 4,337,975.00

(Total Amount in Words) Four million three hundred thirty-seven thousand nine hundred seventy-five pesos only'

r-----------------------------------------------------------------------In case offailure to make the full delivery within the time specified above, a penalty of one-tenth (1/10) of one (I) percent fOi'-1

every day of delay shall be imposed on the undelivered item/so ~

_ ([_, /' Very truly yours, )rv I"-fb RAMONCITO c. MAGNAYE,MD,FPCS,MHA

~~ ~vW \?r. \2N.e~ty}..l Medical Center Chiefl! 2 7 OCT 2021.. _

C2CARMIN~O,CPA

e~

ORS/BURS No.:Date of the ORS/BURS:Amount:

Conforme:Signature over printed name of Suppl ier

Date ex.~.~, 10"2.1Fund Cluster:Funds Available:

tJl

page 6/6DOH Government Accounting Manual

~ - PURCHASE ORDERBATANGAS MEDICAL CENTER

'SuJ$lier. SAVIOUR MEDEVICBS INC. r.O.No. 21-1Q..0299~Ydi-ess: 5th Ploor, 509 BTrC Center Ortigas Ave. comer Dale: 18 October 2021

Roosevelt Street. Oreenhills., San Juan Ci!I- PhiliEEinesTIN: 219~377-m..ooo Mode ofProc:uremeot; PB AUG 2021

Gentlemen:Please tUtnim this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery: Batangas Medical C~nter Delivery Term: NO P.O., NO AcceptanceDate of Delivery: 60 oal~ndar daxs u22n receigt oiP.O. Payment Term: 30 dSYs' upon comolete delivery

StoekJProperty Unit Description Quantity Unit Cost Amount

No.I set LAPAROSCOPY TOWER SET 1 12.100,000.00 12,100,000.00

Brand: Karl Storz - Germany(rcchnical Spejicijicat/cms Qttached)

2 set URETER()"RENOSCOPE SET" URSFLEX 1 3,470,000.00 3;470,000.00

Brand: Karl Storz - Germany(Techntca! Speftctftcations attached)

3 set ELECTROSURGICAL UNIT (CAUTERYMACHINE) 2 455,000.00 910,000.00

Brand: Geister - Germany(Technuxd Spejicijicattons attoched)

Batangas f'¥ edlcal CenterCOMISSIO N ON AUDIT

Note:

'R~~~IVED~ attach the fOllowing If applicable, llpon dtllllVery ;-;c,. '. ~( tJ9. .tNchment /!Q .~tance of dellvwy) ~y : SAl fluui '" , ,

r>.1. ~rtJfic~tlJ of Pro<fud ~6trfl!olt ftom PDA O~te . f7 7J rf/lf/,;z.o .2J2_ C&rtJfIcate of GooQ MfJnuf~utiftg ~ fro/ll FDA '11l11e '!?;:jj to3. Batch RMIJSIt CstfiIkste from FDA

TOTAL 16,480,000.00(Total Amount in Words) Sixteen MlI1lon F~1l1'Hundred Eighty TholU(IlId Pesos oll1vIn case of failure to make the full delivery within the time specified above. a penalty of one-tenth (1/10) of one (I) percent for

Very truly yours,V\-

Ka~~tenor

RAMONCJTO Co MACNAYE,MD,FPCS,MRAMedical Center ChiIf' OC1 lO2l

Confonne:Signature over printed narne of Supplier

Date Nov ? 2021Fund Cluster: 0' ' ORSlBURSNo.: (L-rmol"'~«)m~Funds Available: L,~, (N\) -49 Date of the ORSIBURS:

.-2M. Amount 16,480,000.00

CARMINA~' 'T LO.CPA 1ff4~'" rAc ~' ~.....c-

'il JE (CJ ~ TI~,V"-' -, -DOH Government Accounting Manual

I " " ? U2'l Page J of],:, t>!i_:\/ ,

Republic of thePhilippines Department

of Health

TECHNICAL SPECIFICATIONSSUPPLY AND O'ELtv"ERY Of VARlOUS MEDICAL EQUtPMENT

IB2021w011A -SET1

PROCURING ENTITY BroDER'S OFFER

TECHNICAL DESCRIPTION TECHNICAL DESCRIPTION

C""I;> 1\Conll,h

fllDOt.:R'<;Spttillcation lOUTc:c.hnitlll Off",. <';1~1l::'U:Nr (J!

(:"OMPI.IA:'>iO;Spl:('ifiClloliun as Tethnknl orr..,r

ITEM4: 1SETUltra High Definition Laparcscepy TowerwtthICG and Hand lnstruments , SET LAPARO COpy TOWER WITH· Complv

ICG AND I'IAND I SfRUME 1'5KAlU.STOR.Z

GERMANYABC: pHP 13,000,000.00

High definition laparoscopy tov.er wiUl ICG (indocyanine green ~igh definilion laparoscopy lower wiIh ICG - Complydye) and hand instruments is essential in the performance of safe indocyanine green dye) and handminImally mvasrve surgery In dIfficult hepauc. biliary, pancreauc, nstrurrents is essential illihe performanceupper and IO'Mlf gastrointestinal, tncrac«, adrenal and urologIC of sate mifllnlllily inlla$iv~ surgery in difficullsurgery. The equipment delineates anatomic structures obscured iepauc. bihary, oancreeuc. upper and Iofflrby inflammabon, fibrosis and mangnancy, This equipment will be gastrointestinal, thoracic, adrenal andused by the General Surgery, Minimally tnvasive Surgery, Thoracic~rologic surgery. The equipment dellnesl.&sSurgery and Urology SectiO'ns 0'1the Department of Surgery ~nalomic structures obscured by

. _. nffamma.tion, fibrosis and malignancy. This~quipmenl will be used by Ihe Genemt~urgety, Minimally In"\lslve Surgery,~hofacic Surgery and Urology Sections ofhe OeDaflmant of Suraerv

Ultra High Definition LCD Monitor (2 units)• Advanced Image Multiple Enhancer produces sharp, vividimages by enhancing both structure and color 10 support amore detailed observation,• Viewing Angle: 178"(178'• Color Space: BT20201BT, 709• Muiliple Image DisplaY'- PIP/POP• Video Input Slgnals:·2G-SDI• Display Port-HDM!-3G-501• DVI-O.- Contrast railo 1000'1

Ultra High Definition LCD Monitor (2 unns)• Advanced Imllge Multiple Enhancerproduces sharp, vivid tmllges byenhanCing both structure and color (0

support a more detailed observation.• Viewing Ntgle: 178·/17S·• Color Space. BTZ020IBT 709• Multiple Image Display: PIP/POP• \rrdeo Input Signals'·2G-SDI• Display Port-HOMI·3G-SDI- DVI-O

Conlrasl rauo 1000 I., 4K Ultra High Definition LCD

~1onitor (.2 units),. M~ical Grade (Based on

Supplemenlll't Bid 8ulletin NQ. 2), Advan~ Image Mul\iple -

Enhancer produces sharp, vlv!dUhaof'.u: bv enhancJnQ both,;In.rcwre and color to support amom g9~;.'tU9q c:;>RO-Qt:'VDtoQrl

:,. VieWIng angle: 118"/178".. Color Space: BT.7091BT2020

(ompl:.

{. --

1 90

J~

Video System 20/30 NTSC (1 unit)-Integrated Processor and Light Source- Compatible for 20f30 imaging• Electronic zoom (1.0x. 1.2.x, 1.5x)• CompaUbte observation mode: WLI or NSI• Compatible for IR observation· With at least 4 LED Examination Lamp• Light Intensity equivalent to 300W• USB port for portable memory.• Upscaflng 4K imaging

.. Image Display; PIP/POP,. VIdeo input Signals:.. 12G·SDIY Display Port 1.2;. HDMI2.0.. 3(;.$01J;. DVI-D;.. f:1onlr!!,~ R~1io - 10~;1 QP 1(1

1350:1(P.S, 9 - Highlights Telepreseuce 2021 IP.12, 23,26. Instruction (or Use - 32" 4KMonitor)

Complv

Video System 20110 NTSC (1 unit)• Integrated Processor and Light Source• Compatible for 20130 imaging- Electronic zoom (1.0x, 1.2x. 1.5x)• Compatible observation mode: WU or NB• Compatible for IR observation• With at least 4 LED Examination lamp- Ught Intensity equivalent 10300W- USB port for portable memory.• Upscaling 4K imaging

Video System 20130 NTSC (1 un~));- Mooul"r ProCCS$Qr aud Light

Source- (Intcgrnll!d Processor:n:1 Light SCUTCC or seP1I1"lI1t -Hl\$c:d on Supplement. I BidBulletin No.2)

>- Complllibtc for 2Df3D lln:lging,. Electronic Zoom: 1.0,'1,1 2x. ),5~

(end even more)., Compatible observation mode:

WLI,. Compatible for IR observation:

NtRJICG with visual enhancementmodes for observation(Compatible for IR observationor with visual enhancementmode - Based on SupplementalBid Bulletin No.2)

>- 2 LED Lamp - lifespan 3().OOOboors per LED lamp· (With atIfast 1LED EJ:ttmillstioR Lamp -Based 00 Su pplemcl1 tal BidBulletin No.2)

).. Lightlnlensity equivalent to 3001/11J,.- Wilh usa pori for portable

memory). "K native resolution

r.8, 9, 10, 12, t G, 17 - Highlight$Telcurcseuee 2021.J p.7 - Rubina Brochure

1'.·1_ Lupnroscopy Cntllioel

• Corllply-Comply

. Comply

·Compl)

-Compl;

- Co",pl~• Comply

- Comply

./ ~"'£O "I'~U£ co"'~SAVIOUIl MEOEVlCfS. 'Nc..

I 91

_.- -

--PROCURING ENTITY BIDDER'S OFFERBIDDER'S

Sper.ilitllt)ilrt as Technical Offer Specificatiou as Tcr.hllical Offer SfATEMt:N"f Of'COMJ'lIANn:

High Definitlcn 3 Autoclavabte Camera Head (1 unit) High Definition 3 Autoclavable camera• Nal observation mode eompalible Head (1 unll)• tR observation mode compatible • Nel QbseMlti9,n mo~e <;ilmpalible• Magnification ratio: 15.9 t:o 31.3mm (F) - IR observation mode compatible- Fully Autoclavable. ..MagnificatkH~ ratio: 15.9 to 31.3mm (F)

• Fully Autoclavable.

;. 1 unit· Image 1 S H3·ZA,Fufl HD ·1;ulTlplyCamera,

;,. I unit-Image 1 S 4U Rubina 4KUHDCamera,. With enhancement modes for -Colnply"isualization

» IR obseNation mode compatible • (:otupl)'):. Magnification rallo: 1.5.9 to 31.3mm

(F) -CQffijll,(p.~5T.lt'PNS<ne. C.t.1u!;1 ~7 lIubOmo_hlr< I~71""'ructlon r"" u... TUI21)

Light-guide cabte, 425 mm, 3 m, CF type (1 unit)Light-guide cable. 4.25 mm. 3 m. CF type(1 unit)

l> Light GUlue Cable, -Il(mlll, 2S(Jcm. CF -ComplyTyf)C (Ughl Gilid. Cuhlt, 4,25 10m, a.I"",. :Im, CI' type (I unit) - Ba.m! onSupplemt.1l1a1 81d Bul .. tln No.2)

(1'.42 L.""n ..cu!'YCal.IOIll

Ultra High Definition Telescope/Laparoscope, 10mm, 30· (1 unit) Ultra High Definition_Working length 317.1 +/. 1.5 mm TelescopefLaparoscope, IOrnm.. 30' {I_ Max. Insertion Portion Width 10.2mm unil}• OperaiJng Conditions: 10 to 35° C _Working length 317.1 +/- 1.5 mm• ED Glass Lenses • Max, Insertion Portion Width 10_2mm• Fully Auloclavable _OperaUng ConditJons: 10 10 35° C

- ED Glass Lenses- FUlly Autoclavable

"- HOPKiNS Rubina 30ft T dCSt!Q{>c . - Cump",.1I~11m,30' (1 I,Init) - can be used forNIR, ICG, Full HD and 4K System-{4K Ultra High DefinilionTelescope/Laparoscope. 10mm,30' (1unit) - Based onSupplemental ~id Bulletin N·o.Z)

- Cll!l~'lj)- Wockingl.!ngtlIJlcm, diameter tOlOm(W"rkinJ: (A,nglh JOO.II to 311.5 +/-1.5mm - " ..(cd QnSUPIlli!mcnW BidBull<.ln Nu.2)

;. Max. Inseruon Portion Width 10.2mm • ('mnrl)

:- Operating Conditic)ns: 10 to 35° C -(c,mply',> Hopklns Rod t.ense (ED Glass -Lnmp"

Lellsas or equivalent - Based onSupplemental BJd Bulletin No.2)

~ l\u'o.::I,\,nbl.-: -(lImpl)P.I? HIghlight. 1'c,",v", .. nee 2U21)

Ultra High Definition Telescope/Laparoscope, 5.4 mm, 30· (1 unil) Ultra High Definition_Worlt.ing length 315.5+1- 1.5 mm Telescope/Laparoscope, 5.11mm, 30' (1

.?'_-.. Max lnoortion por1ion Wtdth 6 ..dSr'nf"n unit)

_...~;:::::;'"'"op8f8l1ng Gonoitlonoi 1Q \9 :)5" C _ VVOrM'''''", ' .. no\_h :}" S..b ....'_." S ............. V_ ED Glass Lenses • Max. Insertion Portion Widih 5.4Smm/ cii\TIFIEO TRUE .Opy- Fully Autoclavable _Operating Cond"ions: 10 to 35" C • ~,;, .... , ili- uU1''11ICES 11"(. •.

92----,~

--------_._ .._----------------------

High Flow Insufflator (220-240V) (1 unit)- Flow Rate with at least: 0.1 to 45Umin- Cavify Mode: Nom13l!small- Gas supply from Wall Pipeline (Connectable)• Abdominal Pressure Control 3 10 25mmHg

Laparoscopic Suction and Irrig.a.tionPump. AC 100·240V (1 unit)- Supply frequency 50.60Hz- Max Pump Pressure: 450 mmHg-Irrigation: AT LEAST 2 IImin

Laoarcscoprc TrolleyiTolNer. Mobile ~th v.heellocks (1 unit)_ Integrated Wllh transfonner/automalic voltage regulalor• With l'nobile/movable monllor srm

- ED Glass Lensesully Autoclavable

" HOI'KINS Rubw.l Id='Pe.5 4nllll. -CI'ml'ly30' (1 unit - can be used for NIR.ICG. Full HD and 4K S'fSlem - 41<Ultra High DeflnltionTe(eSCDpe/Lapa'05cope, 5.4mm;30' (1,unlt) - ~5ed onSupplemental Bid Bulletin No.2)W"",,og t1!tlttlh 29cm. dJ:llnClcr Smm - Comply(W"rldnj: ""'lilt'" )00;1) 10 J 17..s +/_1_~mlD- b••• d on Supplements I BidBulletin No.2)MiIX.lnsertJon Pollio" Width SA5mm - LornplyOporabng CondlUons: 10 to 35' C • CumplvHopkins Rod lense (eo Glass - (\'"'1'1;'Lenses or equivalent - Based onSupplemer,iai Bid Bulletin No.2jAutoclavable

High Flow Insuffiator (220-:140V) (1 un~'- Flow Rale WIth at least 0.1 1045UmlO- Cavity Mode: NormaVsmall- Gas supply from WaU Pipeline

(Connectable)- Abdominal Pressure Control 3 to

2SmmHg~ EndoAalor 50 High Flow Insufflalor _('''mph

(220-240V) (1 unit) -i- Fk,w I"'': "I' I" 5!1l • C;"rtill"." \:i')I; l'.h"k f'"h.,nc.OO HIIlI' ,.,,,"};. aes "uf~lly Coonect"m ror ""nl .. "I2.. 1 _ C"mf'l~

I!lI.'! I'lpin~ nlld conneenou III [la"cyhOO<:T

,. Abdommnl l~c COOlroI' I up 1<.>10mmHs

(1'. if £n~plW(jT .llrurJ!un:)

• COOlply

Laparoscopic Suction lind ImgationPump.AC 1O()'240V (1 unit)- Supply frequency 5060Hz- Max Pump Pressure: 450 mmHg-Irrigation: AT LEAST 2 Vmln

1- End.JmBtS~'CCI - LaperosccpicSuction and IrrlgetiorrPump. AC 100-240V (1 unit)

1- $\II'Ply ITcqll<:JI<ry S()fN.lIl<,). tmganon pn.""'-\lre til' 'I> 5(~.llllmllg). Irngauon Flow r.'" ItlO- J 5(l(hnlltlllll - (""Inri)

(P..Ili.ndomal ScIoc-t B.....~bu'" 1 P.GSllUlruell,," rur U.... Endolllltl Stl~l)

.. l"Jlnpi\-t.)nll'i,

Laparoscopic TroUeylTolM!r. Mobile ~thv.t\aellocks (1 unit)- Inlegrated .",;th transforrnerrautomauc

voltage regula lor-With mobile/movable monitor arm

"'IUlf\fllntl ("1'1 LaperoscoPtcTrollaylTowar. Mol1ile with whop I10,:1<$ (I urut)

,. With A Vl{ .. t, ,'rupf\r \Ylll1 01" .. ",110 1ll\'lJ1U,11" rum .. ""~'l,"~~~.....- --:::

(1'.-1Ut".,....c..[ly C.tulo~/I'.11I6 Telep "".nc< ~:;;"'-;:::: __""Calalaltl

',..

93C"":'-lIf:"/ n\",~('\ ......-..nv·

ll) I,.,... .. ~'~ .. :..1 tJl'.1

".,..,.-_-'.-..---I "..-~~

- ED Glass LensesFully Autoclavable

» ffUf'KINS HubullI 1'c1~((. $,.{mm, - CI'NI('J.'30' (1 unit - can be used lor NIR.ICG, Fun KD and 4K System - 4t(Ultra High DefinitionTelHc:opeJl4pllroscope, 5.4mm.30' (1unit) - "Based onSupplemental Bid BuUmn No.2)

:.- W<rl.mg Length 29cm. diameter 5mm -l:IJmply(W",ldnlt Lc:"~b JOOJJ 10 317~ +1-1.5nlln- basedon SuppltmcnlallHdBuUdln Nu.l)

)- MalI.lnsert,on Portion Width SA5mm -C"mp'"s- Opernting Conditions: 10 to 35' C -Comply, Hopkins Rod lern;e (ED Glass -Complv

Lenses or equivalent - Based 011Supplernental Bid Bulletin No.2)

). Autoclavable -Cm"r"lyP.l7 I'Ug"JJ~bt' Telepresence ,2021)

l1igh Flow Insufflalor (220-240V) (1 unit) High Flow Insufflator (220-240V) (1 unit)- Flow Rate with at least 0,1 to4SUmin - Flow Rate wilh at least; 0,1 to 45Umin• Cavity Mode: NormaVsmaU - Cavity Mode: NormaVsmall• Gas supply from Wall Pipelina (Connectable) - Gas supply from Wall Pipeline- Abdominal Pressure Control 3 to 25mml1g (Connectable)

- Abdominal Pressure Control 3 1025mmHg

)- Endonator 50 High Flow Insufflator -Cul'llph(220-240V) (1 unit)

i- Fhn,\' H'h~ lit' fe' ~11J ~C"'IlIJII~." (.'01"1'Mo..!< I'",hnu'k.oo Iii¢! Fill", (I", .surrly ("'1110:<:1,1'"' Ior ecmrslized - C\)mlll,

l!"-'l'iI'IOI.t 41ld cuntled 'Oil rc g:L'~')'hOO,'f "Cl)mply:;.- Al>ill>ll1.hmll'!'=,"" Coutrol I up to30mmllg

1(1'. J J tndotbJor "ro~IIl1T')t.aparcscojnc Suotion and ImgationPump, AC 100-240V (1 unit) 'Laparo5copic Suction 2nd IrrigalionPump.• Supply frequency SO.60Hz AC 100-240V (1 unit)

• Max Pump Pressure: 450 mmHg • Supply frequency 50.60Hz-Irrigation: AT LEAST 2 Vmin - Max Pump Pressure: 450 mmrlg

- Irrigation: AT LEAST 2 Vmin• L'''fIlpl~).- EI100mill Sci"", - Laparoscopic

Suction and IrrfgallonPump. AC 100240V (1 linn)

'C'l)mrl~). Supply lh'l]ucncy j()/(iO}uj. Iml,:Sl)on pr=un: (lP 10500 ",mill' • (' ..mph). II'rl(wtlt." Flow flit" 100- )5\)t)mlimlll -CIlI1lI'I>

(1'.4 Enl.lom.itt St.liect lll'llchu", I P.61l1rulruclilln Co, lJ~e '£ndt!m.4i Stlect)

LIlparo5copiC TrolleyfTower, Mobile ~lh ",leel locks (1 unit) laparoscopic TroUeyfTomr. Mobile ~Ih• Inl~grated with iransformer/automalic voltage regulator lMleellocks (1 lInit)_ With mobile/movable monnor arm • Integreted \o,..lltltransformer/~utomulic

voltage regulator-With mobile/movable monitor am)

.... E'lu'I~'''''1 I.' All ' LBparOSCOplC -lvl\\l'lITroUoyrrowof, Mobile wilh wheotlOCKS (t unit)_Wllh. AVi1 P. 147 P\<;I~9'q. -t,.flmpl)

'" W11h movnbte TtHlUI"Jr Urlll-t,~ ~/\P..J Lapqro ..... "y Col:IIog' P.t86 Telepruen e

, ~/"C.. I_~)It)

7 "'I:''' IInc:u ""VI COpyLaIlIQU« MEOEVICU. 'fiC;

J

94

r.~_~",'_~-~~'_',.,-''''_':;;_-,11 ~'-=__. Ct~;fie fOt{) Copy ,~ -- ....,..__.,. g

iMobile CentedMount, v.ith l.'A'1eellocks, for other LCD monilor (1 Mobile CenterlMounl. with l.'A'1eellocks, (orunit) other LCD monitor (1 unit)• Medical grade • Medical grade• Compatible mounting mechanism lor LCD monnor - Compatible mounting mechanism (or LCD• Holds up 10 55' Monitor monitor

- ,",01d6 up to 55' Monitor

)- Mobile Stand high, r1des on 4 ·Colol'l)antistatic dual wheels. with locldngbrnkes • tor other LCD monitor (1unit)P. 126 Bid docs ·Ct.mph:.. Omitted medical grnde standblUed on Supriemenllli Bid BulkllaI'/.).l},. Compalible mounting rrecnarnsm

-C"ln"l)for LCD rnomtor~ Can hold up to 18 Kg monitor -C,,,nply

ACCESSORIES. CONSUMABLES. SPARE PARTS. OTHER _~CCt5SQR!g5i CON.s!JMABLESj. - - - - ._- - ~-----"-'----I -~-- ...-.-- .. -. ;::... _....

95

PROCUFUNG ENTITY

Img-alion & Suclion Tubing Set (1 set)• Tube sat for Irrigation, ~Ingle-use, DEHP free• Compact de sign

High Frequency Cable, unipolarlrnonopotar, 3 srn, for USconnector (1 umt)4 mm pm

High frequency Cable, bipolar, 3.5m. compatible v.ith Valleylab,High Frequency Generator units (1 unlf)

Laparoscopic Instrumenl Handle. Medium, v.ilh ratchet (2units) Laparesccplc IMtrument Handle, Large. with ratchet(3 unus)OR IF NOT APPLICABLE,LAPAROSCOPIC INSTRUMENT HANDLE.WITH RATCHET (5UNITS)

BIDDER'S OFFER8Wl)£R'S

~'TA'f(IIf£NT OfCo.'rtPt..IAr;t;F..

S,,~c,iIiCltjon Msl'ecbniCdll Offer

Irrigation & Suction Tubing Sel (1 set)• Tube set (or lITigation, single·use, DEIiP

free• Compact design

:.. I!ndom., Select TUhUl8 !Sd CPfIm~at'ooFL. 'IlnsJc WIC • • C''<'11l'ly

;.. C:ompllcl dCSlgn(1'.40 M1'P C.III.Io,>

High Frequency Cabte,unipolartmonopolar, 3.5m. (or USconnector (1 unH)41 rnrn pin

> f ~iiivc.:itrrl;gh F:Vliua~j.ex::!. ~~mm ..::':'iiii.,ly"lull- I<nglh JOO<:m (I uml)

(lUgh FreqUllDc), ClIble. unJpomrlnwoopolll1", IIIleU! J.Um,for US C(lD_~l'(1 Ullit)-bued onSupplemtmw Bid Bulletin No..l)

;. 4 mmpintP,1511 LopalO$COpy Cot"Jog)

~igh Fre~uency Cable, bipolar, 3.5m,f;ompalible v.1thValleylab High Frequencypenerator units (1 unit)

;. Bipolar t "@II Fn.'quency Conl.lengtb)00cm. for Vulleytllb l'oosollllOO! (I - Compl~Will)

~ll\h rrequency ""hie. bipolar. vllc:»t 3.00>.I;(Imp~tUlk-'" ilh V1J1l\'.yt.b HlZh h'""fUl'Dcyr.~n~';.!oi UDlu (I ullIl) - Bu"d aDSurJpl~m enuII Did DuJktin No.2)(P.158 LoIWOSCOW CaI1!loo'

Laparo$~plc Ins1rumenl Handle,Medium, v.ilh ratchel (2 units)Laparoscopic Instrument Handle,Large. v.ilh ratchet (3 units)OR IF NOT APPLICABLE,~PAROSCOPIC INSTRUMENT HANDLE~ITH RATCHET (5 UNITS)

} CUCKl. INF. Pla3li~ Ilandle, styte - Campi}'1!lcl'u:l Wllh I~~gcrCJ.)nlllcl 8"''''' nl lheIlQgcr nng with connceror pm fl.'"uDlv<'11II' coagu13110lll5 umts)

.... l'aJ"ll.col'lc In.trun~.nl H~ndle La'1l ....... 111,lrau-bel (3 uDiLl) - h ... ed on Supplt.menlal Bid~UUcHD Nu.z1(p.4 Cllckllno.lnsttuments Catalog)

96

•

Laparoscopic Instrument Handle, Medium, v.1ij)monopolarlunipatar tip/electrode (2 uni\s)

Laparoscopic Instrument Handle, Large, withmonopolar/unipoiar tip/electrode (3 unUs)OR IF NOT APPLICABLELAPAROSCOplC INSTRUMENT HANDLE WITHMONopoLAiwf.jjPOLAR TIPfELECTRODE (5 UNITS)

LaparOlicopiC Instrument Shaft (8 units)AT LEAST 5 x 330 mm, monopolarlunipolar COMPATIBLEWITH BELOW INSERTS AND ABOVE HANDLES

Lepllroscopie Instrument Jaws Insert, Johann FenestratedGrallp"r (1 unit)

AT LEAST 5 x 330 mm, mcnopclar, peek male rial

Laparoscoplc Instrument Jaws Insert, CroceOlmi Grasper(1 uni!) AT LEAST 5 x 330 mm, monopolar, peekmaterial

Laparoscopic Instrument Handle,MedlYm, with monopolar/unipolartip/electrode (2 unHs)

-------=-j-_._--_--I ~ .w",.: <~UP:Y

~ f~~~-'-;--/---·..,.,..-- -,---------~-~----_.-{~~~------~....~

lllparoscopic InS1rument Handle,Large, with manopolar/unipolartip/electrode (3 units)OR IF NOT APPLICABLELAPAROSCOPIC INSTRUMENTHANDlEwrrHMONOPOLARIUNIPOLARTIP/ELECTRODE (5 uxrrs,

;.. Cl.ICl().INE PI4.~licI landle, ',llhOUI • C()mpl~nudlCl, Wllh lorgt:r ooulUct an:u III III<!lin~,'f nnj!. wtth conn<t:tnt'fun fnr,m'I""lnr coug,J!.t"m (~ units]

(L",.anncol'ic 1r~.lrUllltnl Haodlt. 1"11:0, .. -ltb""iWi)()i~rl'unip()i.r tipick~mde (3 unl"')-"".d on ul'l,tel1)l:OlaJ BIt! 8ull<lin I)..Z(P.oICllckllne In.stlUme'llts Catalog)

Laparoscopic Instrument Shan (8 unrlS)AT LEAST 5 x 330 mm,monopalar/unipolar COMPATIBLE WITHBELOW INSERTS AND ABOVEHANDLES

> CUCKLINE Metal Outer "hath. • CCIlllpl}Ill$ulutcd.wilh LlJER.Lock ConrleCl".-.size Srum, 1011J1h36 em (lI~)

Lap.,wcoplcllUl'rumeol Sh_.n (7 umu)~xJ30mm. monopohtr/umpolar - blU~ 00ISUI'"lemental 010.1BUlletin No,2{P.3 Clicklll>O In$ttumenls Catalog)

Laparoscopic Instrument Jaws Insert,Johann fenestrated Grasper (1 unft)

AT LEAST 5 x 330 mm, monopolar,peek malerial;. CL1CKI.lNf:; o"'''pinl( 1'00;...,., lnscrt, _COlllplv

Uouhk actIOn 18"", r""e:<lrnloo \\llh\.'$pc'\,.10U)' flOe nlr~1JJ1MtlC ~Tall{.ro~ ~C/,\.

51001, "'"glh J6cm (I unit)Laparoscopic Instrument JlIWS lnsert,Johann Fenestrated Grasper orequIvalent (1 unit) - based onSopplcmontal Sid Sulletin No.21'.122 Laparoscopy Catalog)

Laparoscopic Insirument Jawsinsert, CroceOlmi Grasper (1un::) A.T LEASi 5)( 336 rnttl,monopolar. peek malerial,. CllL"Kl.1NF hr.l''P. 11\".,...,f,..- - C'.mpl)

CRI1Cli-0I,MI Bf1I.~ptngfoA:<.'PS, $1Il~1.""lion )DWS, QUllltmlllJe. rctlO11JlIloo..

""M,,.I, .",,5111111. lllllj!.lh }("'") (I unit)~paroscopie Instrument Jaws tnsert,proceOlml Gl'lIspor or equivalent {1 unit)

Based on SUppiemental8id Bullotin~o,2P,19 Cllckllnc In$ll urn",,1S C ."'1"'111

~ ......:.--,F.:::>---""Li"~ ~

/~FlEO TRIJECOpy./ SAVIOUR MEOEVI t£s, INC.

\9~'

Lapai'oscopic lns(i\Ji:nen{ Ja ....$ Insert, Clinching Laparoscopic Instrument JawsGraspef(1 unit) AT LEAST 5 x 330 mm, monopolar, Insert, Clinchmg Grasper(1peek material unit) AT LEAST 5 x 330 mm,

monopola(, peek material• Comply~ CUCKUNE F....CI:p$ fnsert. VfllSpmg

Ftlf'Ce!'lS. Ilti'lIUllllItic, wavy, Joub_lcactiouJuws. m~5mm.11!Il8Ib J6<:m (I unll)

L,.a~!O~o:P~!~t!~~!". ~a~,-!nsa~,._CfrnctSli19 GJ:aspe_[ I'JJ! equft>aliinl t1 UllJt)- El4sed on Supplemental Bid BulletinNo.2(P.18 Clickllne Instruments Catalog)

Laparoscoplc Instrumenl Jaws Insert, Maryland Dissecting Laparoscopic Instrument Jaws Insert.Forceps, long (1 uOII) Maryland Dissectlng Forceps, long (1 unit)

AT LEAST 5 x 330 mm. monopolar, peek malerial AT LEAST 5 x 330 mm, rnonopolar,peek material:;. r-r ft"~1 rl\l1: I.'rll"t·~., r'10'''''' It (':1 I V 'Col1lply

~ ................~,~............ "'y•• "_' .......,..••1.'

1),,,,,,.:1.\118~od (jrtl'l'ing "'JfCC1"" I<)op..double ecnoa J3W., 'iLe 5fl11Ji.1<:I'l_I.Ul36cm (1 unil)

(P.2l CIic.kJineInstrwnents Catalog)

Leparoscoplc fnslrumeiii JawS Insert, MaiYiand Dissecitng Laparoscopic Inslrumenl JaYtlSInsert.Maryland Dissecling Forceps, angled 90Forceps, angled 90 degrees (1 unit)degrees (1 unit)AT LEAST 5 x 330 rnm, monopolar, peek malerial!AT LEAST 5 x 330 mm, monopolar, peektnalerial

-C(\ml"l~). CLiCKUt."E 1'0<c<'1'SInsert, UuscClmr,;lind Gl1IIIPlUg.rigbl ufl~tt1. llvubll:ucnou j6\V-f. size SHUll. Icnglb J6<..'1l1 (1u~Q _

ip.i5 Clickiine Instruments Catalog)

98

PRocURiNG ENTITY BIDDER'S OFFERSpctificaliun as Technical Offer

Leperoscepie InstnJment Jaws Insert. Me~8nbaum Mini Scissors(1 unit) AT LEAST ~ x 330 mm. ITIQnopolar. pe~k material

laparoscopic Instrument Jaws Insert. Johann Grasper,longt1 unit) AT LEAST 5 x 330 mm, monopolar, peek material

High Frequency Eleclfode Hook. righl angle, with suctionchannel (1 unil)

ATtEAST 5 x330 mm

laparoscopic Needle Holder. curved jaw (1unit) AT LEAST 5 x 330 mm

Suction and Irrigalion Tube. reusable (1 unit)AT LEAST 5 x 360 rnrn, button type,insulated, mono polar

Sucllon and Irrigation Tube Handle, Withvalllli! 5 rnm suction channel (1 unit)

sucucn and Imgation Tube Handle Valve Tube (1unit) 5 0101 suction channel

SUcl10l1 nod ImjlotlOll 'I ube I hinttlc, wuh vAt\'~Smm SUC\1(,n chllnncltl unn)

Speesficarien liS Tethnical Offern100t:R'S

STAT~1U'(f' Of'COMPl.lA "'0.

LaparoSGOpic Instrument Jaws Insert,Metzenbaum MinIScl$$of$ (1 unit) ATlEAST 5 x 330 mm, rnonopol;:ir, peekmaferial> CLlCKLlNE Sc.._.-s, (or

Mm'ZENBAI.JM so:~ dooIlle IIClii:>l))g""" curvul. size 5mm. h:ngth 1&'lll.(llT' usc w,th lrOCa!'ll'VJ: (lInm (I unit)

(p.24 Cricldine Instrumentscatalog)

Uparoscoplc Inst(f.Jtnent Ja......sInsert, Johann Grasper,long(1 IInJt\ AT I J:llC:T C\ y ':t1.n mm\' _""I'-~I ..._., ............... w_v ..... ,.

monopolar. peek material> Cl.!CKLlNE'Fnrc..'PS IIl-:ert.i:!OW..-J

()(asl' ..~. r':II.:slrulcJ, uouble o.:U"1) JilWS,SI7.t: .5mm. tc:n~u,36cm (I untl)

Laparoscoplc Inst""ment J<lWStnsert, Johann Grasper.tong orequivalent (1 unit)- Based onSupplemental Bid Bulletin No.2P.19Ctickline Instruments Catalog)

-Comply

High Frequency Electrode Hook. rightangle, wilh suction dlannel (1 urnt)

AT LEAST 5)( 330 rnrn;. Coagulating nod OIS.se'Clin>! El<.'CInxic,

with channel, L·.J1upW .\zc SlIuu,I""lllb • COlUPh3()crn, [()I' ll'lC with suction 8110 rrngauonaaiicl:es (: :uti:)

(P.194 LaPllrO$COpy Catalog)

aparosccoic Nf1eQla Holder, curved Jaw (unitAT LEAST 5 X 330 mm

~ KOH Moero Needle H,)IJ<!S',""h _Com 'I.I1mt-~cncarbide tn....crt, ~OIl()m'e plslol I •handle 1"1\11"'scng_scable ",Ichd..mlchet ''''$Il1t1tl Icll. jnwlI C\lf\'eU t(I left.SIll>Smm, length 33cm (I llrul)

(P.30 Cllcldin~ Instruments catalog)

Suction and Irrigation Tube, reusable (1unit) AT LEAST 5 x 360 mm, button type,insulated, morropolar

).0 OOROI'S .. vJ CAMPO C~~ul.t"'ll • C"mpi:.SUI:w>Il/lmgalloli C.mnula, hip-,lAr.)mID. laillth 30...111, fllr u:;.: wnh 'fUI;I.1OO

nnd lmltfllion handles, (I nhll) (P. SP44 LaPlll'OSCopy Catalog)

~lIChQn and lrngation Tube: IllUllllc V!1l,'c Tube (IflO!l) 5111111~uclil\n cllllJ\ncl

.. 11~t1dlc,for sucuon nnd IITIb1I'100. • t \'011'"utC-C\.I\"",hl.c:. t~ ~.\,.~" ..-,\h 51'''''''

ronftuh,llt.IO "Uc.;t""u lub~ und 1 1 ') uud ...-51i1tn SUCt\ntl 8UJ lr!,~umon \lIl ..........(I _~~ ~unit) I Slhaml·,."b1l1~ :Okl. ,-/,"", _- .•nutcclaveble, r.)f ... e \\ IIh 110"((1.;(I ,.1) ~/ C~FI eo TRU coPY

(P.193 Laparoscopy Catalog) / 'S.IN"t-

99

,- ,,----_._----, ----_.

Light Cord Cable Adaptsr, 90 degree (1 unit)

laparoscopic lnstrurnent Tray v.ilh Lid, STAINLESSSTEELrnTANllJM and Silicone Mal (1 unil)537 x 139 xzea mm

Laparoscoplc. Instrument Tray (orLaparo~copostTeJoscopes STAINLESStTlTANtUMAUTOCLAVASLEJSTERILIZABLE (1 unit)446 x 49 x 68 mm

can hold up to 2 telescopesllaparoscopes

Light Cord Cable Adapter. 90 degree (1unll)

,. LIght 8dnptcr c4Jlmm. 90 ,I<:gr<:<:IIIJllltd. _ Comrlyfox r'-''''IQbl~ 10 cenneer Wllb .IJIr.d:t,,1scopes (I unit) (P.25'T LlparoscopyCljtilogf

Laparoscoptc Instrumenl Tray v.ith Lid,STAINLESS STEELITITANIUM andsmcone Mat (1 un") 537 x 139 x 268 mm

,. rlft~Ii<,; Cootlliner for 5,,";117.1n8 aoo - CUlllplyStorage, penorsted. wuh lrd, for ""',.level 'l.Ofoge, dlmemlOn W ~ U " I !.SlGmm x 255mna ~ 14Smm fI'If use "IU,JOan ano )(ocm C'l.tCKI.INHi"'lnlDl<."Ill~ _ AUIOCI.vohlt:(I unit)

P.CL4) ".YI!~1m:C~lilJqI:)

~parO!leopic InslftJment Tray with lid.~TAlNLESS STEEl.fl1tANIUM and!silicone Mat or equivalent.!AUROCLAV.A8LE (1 unit) - Based on!supplemental Bid Bulletin No.2

Laparoscoplc Instrument Trayfor LaparoscopeaITelescopesSTAINLESSITITANIUMAUTOCLAVABLE/STERILIZABLE (1 unit) 446 x 49 x 88 mm

~n hold up to 2 lelescopestlaparoscopes • ("llIph" Wi'e TI'IIY, ftv Ck:l!IIJlf\, ~tcrlhlau<Jn liDO

sl\)rngc of I"" ngl<l.:ndl_lpC:; Mil nilelight cable. tndudltlll bukk.,. 10< IIghlrosl ndnpl"<li, silicone telescope forhold""" ano lid. dirnensicns; Vol x 0,< H- 1l1i X 125 '( ~!nlrn, (tot rigide"O(l>ool'Cit up tu dtU1llClCf I ()1l\1Il iutUworking Im~lh n"IIl' A"'o.:l"'.bl" (Iunit)

1',CL 12 lI>~.w C~lah'l1)

'-"paroscopic Instrument Tray tor~paro5copesfTelescoPQS~TAJNLESSlTITANIUM AUTOCLAVABLElor equivalent f1 unit) can "old up'to 2elescope.lIl1aparoscopes or 2 units with

one scope uch - Based onSupplemental Bid Bulletin No.2(P.22 Hygelne C-'oo)

1 100r -_ _.. '1.~"'!' I,

!Laparoscopic Instrument Tray for Camera Head andAdapter STAfNLESSfTlTANIUMAUTOCLAVABLE:JSTERIUZABLE (1 unit)478x68x224mm

LaparoscQPIC Hand InslNmentBasket STAlNLESSfTlTANIUM (1unit)WIth silicone retainer with 545 x 255 x 210 mm sUioon mat canaccommodate lap'sroscoplc Na'tid inSlN~nts in assembled mode

ENVIRONMENTAL REQUIREMENTSRoom temperature

faparoscoplc Instrument Trayor camera Head and Adapter

~TAINLEssrrITANIUM~UTOCLAVABLEJSTERILlZAa

E (1 unitH78 x 68 )(224 rrm., PI""I;'; Crn,lamc:r. (or SlcriluAII<JIl &IN • Comply

~Iont!l¢ of CIImcra head•• 1Ullt)<)lavable.$'"IJ1bt. fi:K )j3C W1th "h::llil). gas .104hydrog ......pam.ldcSlmlv1l1'Otl. 5rarndoompallble. dilJ1\:Il:I,on' W x D, I t -)~S ~ 255,~ 75m", . AUlc..;!avobtl<(Iunlt)

Laparcscopic lnstrumerrt Tray for<;amera Hoad and Adapter~TAlNLESSITITANIUM or equivalent,'''UTOCLAVABLE (1 unit) - Bas.e;d on~~tij)kliTieri1rii Sid l3uncitin No.2(P.CL 39 Hygeine Cat;atoU)

..11flQI'O:ICOflI( 'lotyJ IJUINm~"tll l3<1sletST II.JNI.ESlIfrtTA.NtUM (I unit) <\,111S.h"'lll~ctal"':> wllh 545 x 155 ><210nllll .,tiOOtl,J1.O! ""0

~rl~lUudlll(; lUI'tlt~J'" Jf.OSlKi Jtl;SltunroJl~ lU

L,-""",hlro mode;.. L~JllIrv...,.q)lC I tamll.\.<lJU11llll11 UlI$l;l!I

mcluJro In 277171:) PI..."hc Contamer • CampI;

L"plll'U"O.lpic wm" 11~lrul11(!t1L'l.afla,..,~ropic Ibml InHrumenl S,...ket

~TArNLESSlrrrANIUM or equivalenl (I "nil)with • ill..., ... ret.in.,.VUh .Uiron lU"t

lean aCcQn"i1a"~I. tap"">lc:opi<: handIUtrultltntJ In ... emb"'-d molh ..- B_" on

~upplLllJtnlalBid Bulletin NO.'llP.CL·U ll.y""bwtC.t-.ol<>l:)

ENVIRONMENTAL REQUIREMENTS). Room Temperature (p.e

Instruction I-Mnuall

I

.,,,,~

,,.?

i~,

10'j

SAVlQlJk MtO{VlC(S, IlK

I I. ~

.

C",,·~~. . ~D'_ /1J I~...,.,~.--- - -~.--- I- - .


30 10 60 days from the receipt of Purchase Order

Specific.alion lISTechnica! Offer

f,." "C{IUlpl\'10'0to 60 days upon awarding of contractr- Based on Supplemental Bid Bulletin

Before delivery, supplier must calilhe Malerials Management ~o.2secucn for delivery coordination to avoid non-acceptance or delay D. • . .in acceptance ..efore delivery, Saviour Me Devices, Inc

, will call the Materials Managemenl Secbonor delivery coordination to avoid non-

~cceptance or delay in acceptance.~fleas~ see aftached certlficate)I[ :nmnlV nn this statement.

}lecificatioll as Technical Offu

DELIVERY DELIVERY

RIOGER'SS'TAT'f,Mf.,"'(f OF

COMl'UANC£

TRAININ.G, INSTALLATION Ii UTILJZATION TRAINING, INSTALLATION &;UTILIZATION

The winning provider shall ensure the availability of qualifiedtechnicia" and trained personnel 10 maintain Ihe equipmenLTesting of the equipmenl pnor 10 acceptance is warranledwitnessed by both parlles. Special care and operationalinstructions to be given during ulis time by Ine supp6er.

Saviour MeDevices, Inc. fully understood~atthe winning provider shall ensure the~vailability of qualified technician and"ained personnel to m:aintain the~quipmenL Testing orthe equ.ipment prior.n acceptance is warranted wi!!'!'.ls-seQbyboth parties Special care and operationalnsbucuons 10 be given during this Ume by~e supplier. Comply on this statement.Please see attached certificate)

- Com!"l,

WARRANTY WARRANTY

Shallsubmil the schedule of corrective maintenance uponfacilitation of agreement

Saviour Me Devices, Inc. shall submit theschedule of co/Tective mamtenance uponfacilitation <>f agreement

Preventive Maintenance: At Least twice a yearCalibration; At Least Wee a yearWarranty; 2 years warranty on parts and services

Preventive Maintenance' AtLeast Wce a yearCalibration: AI Least twice ayear~arranty: at least 1 year wanranty onparts and services - Based onSupplemental Bid BuUetln No.2Comply on this statement.Please see attached certificate)

'C"'lIl'ly

DOCUMENTATION DOCUMENT All ON

Operating manuals and brochures willlJe provided by the supplierupon tesiing and acceptance of the equipment MUST BE IN THEENGLISH LANGUAGE OR MUST HAVE ENGLISHTRANSLATION

Operating manuals lind brochures \!wiD beprovided by Saviour MeDevices, Inc. uponesting and acceptance of the equipment

~UST Be IN TI-IE ENGLISH LANGUAGEpR MUST HAVE ENGLISHrRANSLATION.Comply on this statement.Please see attached certificate)

SAFE1'Y a STAt'lDARD SAFETY & SfANDAR,O

Supplier to pmvide Intemational standard and regulatoryapproval certificates of the product/equipment.

~aviour MeDevices, Inc \!will providenlsmationsl standard and regulatory

~pproval certificates of theproducUequipmenl. Comply on Ihi. o,.lemont.kplea$e seo :attached cortificato)

!

\102

.._-----_._----------------- ---------_._-

Name and Signature of AutIlonzed Representative

(Sgd.) ElizABETH V. PAtINES, MD, FPNAPPPS.FCNSPBAC Chairman

·--------........._,. .......... rr1\I

Cop),

c.·..... , _.,I!A .. J' (1"1\1~ ..... -_, !.J~

--

103

_ ...",,-_ ..-----"----


of Health

T5CHNICAL SPECIFICATIONSSUPPLY AND DELIVERY OF VARIOUSMEOICAL EQUIPMENT

IB2021-011A -SET1


ITEM 6: 1 SET URETERO·RENOSCOPE SET

lllObEl!',"I n ~lf~"T(H~ ·O,'!1PL!.-":N! f

Spe.....ificIU)UII as Technical OITer Specification as T.thnital Offer

ABC: PHP 3,500,000.00I SET URETERO-RENOSCOPE SET - CompJ)'

KARL STORZG£RMANY

To be able to perform standard of careendoscopic procedures such asUreteroscopy and Retrograde Intra Renalsurgery (RtRS) as requirement forsccreditation by the Philippine Board ofUrology_

~hese procedures are (0 be done a[thepperating room to msnage urinary stones,mass. and strictures.- Comply on this sta tement

To be able \0 perform standard of care endoscopic proceduressuch as Ure1eroscopy and Retrograde Intra Renal surgery (RIRS)as requirement for accreditation by the PhUippina Board ofUrology.These procedures am to be done at the operating room tomanage unnary stones. mass. and stnciures.

-Cornply

TECHNICAL DESCR.IPTiON TECHNICAl DESCRIPTION

Uretero-Renoscope,8 Fr al mosl Length atleasl43 em, distal tip7 Fr at most, Working channel 5 Fr at most.

Uretero-Renoscope,8 Fr at most lengthat least 43 em, distal tip 7 Fr at mostWorking channelS Fr at most

.. Uretero:-Renoscope 8 Fr., tengltl43an distal tip 7 Fr.. WOOOngchannelS Fr. (p_ 199, Kart StanUrology Catalog)

-ComplY

Urelero-Renoscop". French 7 • 8 Fr,L.ength ~ - 50 em, di~tal tip Frene" 6 - 7_Working channel 5 Fr - Based onSupplemental Bid Bulletin No.2

Vlogo Uretero~RenOSCDpe, Sh~att,s!Z~ 6.~ Fr~' m9~1. Length atleast 70 em. Working cnanne! 3.6 Fr at most - Not OispoIBblo_

Video Uretero·Renoscope, Sheatl1 size 8 5Fr at most Length at leasl 70 em. Workingchannel 3.6 Fr at most· Not Disposable.

.. Video Uretero-Renosrope Ftex- - COlrrpl)XC, sheath size a 5 Fr .. Length70an. WotKing channel 3 6 Fr . -Reusable (p.211, Knrl Stan.UrolOGY Catalog)

Video UretercHteno.sc:ope, Sheath 1Ii1:0

French 1 - B.S. Length 70 • 80 em. Workingchannel 3.6 Fr•• Not Disposable. - Basedon SUllolemenl,,1 Bid Bullatin No.2

-.- --/ $AVIO\JlI M£OEVICES. INt.

I Cei'-l$_-:::-" gIC''''~1'PY-<~;f;CdPh,", Copy I)1...--. ... ~ ._- -_- ,/-----

151

Modules lor tmage proco!.llll~ and for ~ COJmJf1I control UOIl ~odule. rol' flIl8Qb proceUfng and for !he~ra crmtror unit

" Image 1 S CoMed - Conned. -(~mpt~module lor Jmg!e ~ (p.231. Kart Staz Urology Cafalcog)

... lmao.e1 $ X-LJn1( - LInk I1IOdUIe fur -(.(lmp);c.a.ll'ler3 eootr(ll uM (P .211, Ka r1ston Urology CJualflgl

PHYSCIAl DESCRIPTION PHYSCIAI. DESCRIPTION

Corrosion ret.l.t.allt malenal. und for tho inltruments arid CorrosiOn reSlS\.ant malenalS used lor lI1eacceuonu. nstrumonlJ lind ilcal3SCrte.5,. Sl.aUlleSS St.:c:1 MlIb.:nnl- CQrto"<m -(omph

reostam (r.l.llrt(t'rIl-RenoS(l)peIDd Vjd~o Uretere-Renoseepe Listor RJI'WM.leritllslMSDS,

unutv REQUIREMENTS UTllfTY REOUIREMENTS

ReqUIres sleetneat source WIth 110- ~um:s eleetneal SOIJ.rQO\Yuh 11O-;UOV220V RaqulNls T(tM:)t· Monnor. RetlOI1e$ TV'"er • Moniwt

" Power Supply: lOO-J2Q V;\O 2()()" -C')l'J1pJ~240 VAC. 5{)I6(lHJ;. ronlf13tible 10Tower - MQIlltOf (P.2J 1, I<a rlStorzUrology catalog)

ACC£:;50RIE5, COIiSUMAeLES, SPAItE PARTS, OT!1ER COMPOME.HT!AC.CESSORIES CONSUMABLE5 SPAREI'ARTS O'l'HER COMPot(tNT

Ure1eroRenO$CQpeAQ;essonM to beUtbteroRb(loscope Aoco&IKH1CS to be includod in ~Iivery. included in defiyery.'I, In,,,rtIon Aid, Inslrum6nl j:>o(t,Tube ConneClor, $·topcoel< ~.lnMrtlon Aid, In$tr\lrru:ml Port, Tube

2, Seal (Urelero.renoscope) #. 10 pieces ponneetor, Stopcock3 Wife Tray tor cleaning. stenlization and sloragelor use ",nn ~.Seal (Uretero-reno5cope) # 10 p~ce5

Urelell)- R~(\Qseope$. ~ Wire Tray for cleamng. 6lenlizlloon and~torage for use 'Min Urstere- Renoscope$.

IUreleroRenoscope Accessories to bencluded in dehvery

;. Insertion Aid, InsltUrnlo'flt Port w!Sealing Systefl1, LUER·Lo<.kTube - C(Jntpl~connector male, LUE.R·Loc:k lubeconnecter with Stopcock. RowControl StOPCOCK tP.20-4. K.arlSton Urology Catalog)

• (QI11I)ly,. Seal (Uretero·r~noscopel. pacl<ilqe01 10pcs (p. 2.04, K.art StorzUrology Catnlog).,. wit'!! Tray (P, 204, Kart Storz - (\'rnphUrology catalog)

PROCURING ENTITY 819tl~R'S OFFER

Specification liS l'tchnica! O(l"cr

Accessories for Video lIreleroRenoscope to be included indelivery:

1. Pressure, Compensation Cap. Leakage Tesler, Cleaning Brush. "Pressure Com~saliofl Cap. LeakageAd~ptor ester, Cleaning Brush. Adaptor

2, Seal (Video-Urelero-renosCQpe) # 10 pieces

3. Plastic Case for storage olthe Video Uretero-Renoscope

EtNiROHMENTAL REQUIREMEtITS

Units to be stored in the provided lray and case bundled v.1\hlnthe set. Storage et room temperature.

3010 60 days from Ihe receipt of Purchase Order, 1301060 days from the receipt of Purchase - Com!,l}preler .

. I M t In case the unit cannot be deliveredBefore delivery. supplier mus~ call the Malena 5 anagemen within the said period. SaviourSection for derlVsry coordInation to avoid non-acceptance or delay MeDevices Inc. will provide service unitin acceptance. until the detivery of the equipment -

Based on Supplemental Bid Bulielln No.2

DELIVERY

TRAIN1l.fG; INSTALLATION a UTILIZATION

tnspecuon and operation check of the units before handover,!suppUer ""II j5rovide training on Ihe usage. proper eare,jd,s.inr~ctJOn, and storage of the instrumenls and devlces.

I" 1'(""':"01: COll1pC!~'.li(>n CQJ'.l.c:lIl;.~" - Cvmpl~Tester \l'llh Bulb omJ Manometer.Cleamng Uru..,h. LUER'Ad~ptor(p.211. Karl Storz Ur.ologyCatalog)

}:o Seal (Video- UrclCfO·Re:IlQ:>OOJl(:) - ContptyPod-llge of lOpes (p.211, Karl StorzUrology Catalog)

l> PI"slte tll.'P! for StolBg~ of (be Vidc..l - C(1lflpi)Urel<:n>-RC:OOSl.'Ope (p.211. KarlStorz Urology Catalog)

ENVIROHMEtITAL REQUIREMENTS

Units 10 be stored in the provided tray andcase bundled within the set. Storage 'atroom tempera\l.lre .

.,. Ucus will be Stared 10 T",y lind case - • Comply('All be 510ft'll at room h:mpa'elWl:(P.204& 211.Karl Storz UrologyCiltaloa}

TRAINING. INSTALLATION IilJrlUZATIONnspection and operation check of Ihe unus

~efore handover Saviour Me Devices , ., """,1\rtc ..W111provlce training on 1)18usage.

P,.0P'<"" e.nC"I8.du;.'nIAcHot'\, and s\orao(! of thenstrurnents and devices - Comply on this , _ _

~tatement '--7 ~'-Please see attached certificato)./ :::..-.~.

Spedtkanl)u 1I$1'~,llhnitlSl OrTeTBIDDER'S

srAT£ '11:....0(1' Of'CQMI'I.lANC£

Accessories for Video UreteroRenoseopeto be induded in delivery:

~.Seal(Video.Uretero.renoseope) tf. 10pieces

p,Plastlc Case for storage of the VideoPJretero-Renoscope.

Vo.ccessories for Video UreteroRenoscopeo be inciuded in deiivery:

DELlVE'fW

iaerore delivery, Saviour MeDevices. Inc.~us1 calltha Materials Management~ecUon lor derlVery coordination to avoidron-acceptance or delay In aoceplance.-~omply on this statement

Pleaso see at\ached certificate)

/ ~I:r '1l:L1 r~u r: ...\.1!>AVlOUII M.lO£IIlCU. INC.

153

WMRANlY WARRANTY

2 yearo W3lTanty on parts and~avlour MeOevK:es. Inc, Wli PrQvide 2 -Compl)

services. Quarterly preventive~ars 'MJf'l"lJtlty.onparts and services v.ithmaintenance. puarterty preventive maintenance.Technical support to be provided v.lthln 24-72 hIS atler

Inquiry Service urut to be provided in case of technical ~echnical support to pe PrQvidedlMthin 24-problems U2 hours after inquiry. Serm;e unit to beSpare paris avallablt~ at leasi 5 years atier device acquisition. provided in case oHeehnical prQblems.

rspare parts avaHable at leaet 5 years after~evice acquisition. - Comply on this!statementPlease aee attached certificate)

DOCUMENTATION DOCUMENTATION

Operating manuals, brochures and certifications to be provided Opera ling manuals, 6mchtiies and-(.;(Jmlll;certifications to be provided by Saviourby the supplie

MeOevices, Inc.k;ompty on this statement

Please see attached certific<lie)

~~A~UECOPY/ SAViOlllI MEOEVIC(S. INC.

PROCURING ENTITY BIDDER'S OFFERBlOorrn,

Speciflcauor, as Technical Offer Specificatioll lIST echnica! Offer ~"""Tr.MENT OFCi)M}"UANCE

SAFETY 6: srANDARb iSAFt:tY a stANDARD

Supplier to provide international standard and regula'tory Saviour MeDevices, Inc. ~II provide -Comply

approval certfficat!ls of lhe product/equipment international'Standsro.and regulaJoryapproval certilicat8$ of theproducVequipmelllComply on this lJiatnmentPlcase see attached certificate)

epresentattVe

(Sgd.) ELlZABETH V. PAUNES, MD, FPNA,FPPS,FCNSP

BAC Chairman

155


of Health

TECHNICAL SPECIFICATIONSSUPPLY AND DELIVERY OF VARIOUS MEDICAL EQUIPMENT

IB2021-011A -SET1

PROCURING ENTfTY BIDDER'S OFFER

TECHNICAL DESCRtPTION 'rECHNlCAl DI!.SCRII']lON

BIDDER'SSTATEMt';'I'r OFCOMPl.IANCE

Specilicuti(Hl 8_' Technicul orr"r Specification as Technical Offu

ITEM8: ,2SETELECTROSURGICAL GENERATING UNIT'ELECTROCAUTERY MACHINESUNIT COST: PH? 500,000.00ABC: PHP 1,000,000.00

2 SET ELECfROSUf<(;ICALGENERATING UNIT

GElSTERCERMANY

·Corofl!>

or use in the New Operating RoomComplex to augmenl Umited and oldelectrosurglcal generator equipments

.C(lmpl~for use in the New Operating Room Complex 10 augmentlimiledand old electrosurglcal generator equlpments

-(issue erTeel sensing technology 1\",,,,, effect """t<lIlg.I,,,,hllolugy:;. DyMOIicauro-edjusuueru ,)! oUII'U[

pal"= fol" beit pCrftK11llUl<l<: ....·Iul" ",Stili!II", I.,,,,,,,,, """"wI<: f'Y"',.... an..! r.:.Juc\lIgdlllllllging side clTCCL.' on 1:11'),."'1POWIS(I.;. carbot'l7JlIion or ''''!IS .t!£klnu)(P.ll1roebu rel

automatic Inslrument recoqmtion and 3 screen user Interface automatic instrument recognition and :lscreen user interface

,. Auiomauc ',"",'Of!1llllOO ....r mstnuncntwuh error alarm for eorrccnon and 4u-_ mterfaee (p.1 Brochu",,)

_ compatible with conventional eleclrosurgical ins1J'Uments, lepmachines and smoke evacuator

!compatible with conventlcnal electrosurgica -(.;unrpl)nstrurncnts, lap machine& and smokeevacuator (P.3 Geister Clrtalog)

-two Individually controlled monoplar recepiacles (outpuis) ~ indi'lidllally c;onlroUed rfTOl1oplarreceptacles (outputs)

;. '2 ective moaopoler output s (P.I8NCh,,")

-on-board bipolar virtual meter wilh three bipolar modeson-board bipolar virtual lnoler ....;Ih threebipolar modes

;. 0h..(~rd b'pol(lJ' vutual meter \\llb ;;b,polnr WI'f'dl'" Pure, Blend, MI",U,Auto, MlI<:m for nll slugi.:.,1 nc....xl.< withh'I~)lar''U1 nml COtlgultll"~1 (p.2llrochul"IIl

_ Foot Control tor both bipolar end rncnopolar-I)Of ((lUi ......, ''''\9ljl't''iJ

Ft".ll";t)t'llll\( (or 1\4,·,th 1!I~hlr l.lmt tll(1I\Ul""lm (1' ..1 '(..lIH'pI ..

UM'CI1URJ_ t~"1t>\.I(" J ,,..c:~h,l... 1f'.8 l\" .....·h,,_) ""..~ """"_,.j.,_

,"'-::: /' ,~

1"t'D1""U!~~T'" rl:'\n'

/ SAVIOUR t.ltOEVlC!.S. INC.

.....~-.....----218

-3' bipolar modes: precise (low). - 3 8iJl(lIut 10'''1.-. Pr<N,..:{lOW). Slull<illnl -c..nplrstanderd (medium) snd macro mcxlillm),lIIId (lur~ru(r<Ul"1"v b'l'ol4)(1(macro btpolar) :0- j Bif"J1ar rnooQ' "lIrc.,Blend. MKr<l,

Auto Md Ma.cro) (p.2 Il"Wlllln)

-3mcnopctar out modes: 3 monopolar CUImodes; low, P"'" ItOd b1cm1 -C<>rnpI~low, PUll! & btend .. 4 nl4lJ'Clp<I{or IlUl. modes: Pure. Blend I•

Blead 1, I'.ado) (p.1 nrocbu~)

- 3 monopolsr cosg modes; ~ filOIIOj)(>I:ar 0011& modes: desiccnre (I<>W). .~ydesiccate (lc~!).fulgurate ••, ......... ,_ t ....... ii..n.\ ;a. _ ...... '" 11. .... h"'\

-...0· ....."·'" \U-4__ IV'''' ~ '-'1'"''',' $UW'j

(medium) & spray (high) ~ 4 nlt1tlopolnr 00Ili! modes l:ul811rok.f'ltllltllol. sen and Spmy (P.I Btochurr)

-support tor sitnYllanOOUIi coagulation r>upporIlor sunullnneous c<'.~ulnh'm ~(ttmpl~l- provide adllpler" Bell'alilln

s'rnuIIQUCm~<lypos.,I.'e by IW" =urgeonsby IJ.";II~ huml NIVII.:h .. r twm (0$, pedJI

-support for ultrasonic electrosurgery (p.1 Brochure) • (.'c.l1('1b,r>uP,lIlI'1 for ul(rasonio cIO'Ctrt"'UI-g<"'Y» »71h Cllmp141t: .Il<:Jf-It;:jJ,

hal\lw~n:I""fI."'·I1TC diujpU>si. and Il..wlfunencn nnd .aiel,' IlI<lJlilOl'llIS h) I\,()

321)11rniClD!>I\lCllS"'.n;. (1'. 2 Brochure)·O,"lp!~-h.:md switch or foolswilch activation 1L31~ ,$\,,:c;h or fl~s\,,·ltcJl i)cu,,·.,tit.on (l'~ ~ J

-adjustable activation lone volume, Brocbure)l\uJlI.'Ilnblc "wvatlon tone volume (P.9 Brochu",) . ("",ph

-wilh reusable patient return electrode With rCll.'<I,blc p.1IlCUI return clcctIlXlc (p. 18, FlAB -(:"",pI}

Brocbu~)

-slofl!ld programs 8' e available ror cardia- SUrgelY, general andStored (lwgrcrm" arc .,'ailllbl" for enroli,)- ·c"",.pI~

laparoscopic surgsly. flexible endoscopy or monopctar urgery. g..m~""'lllJ"! lapurosccpic ""Ilery.

endoscopy nc-xihlc endoscopy or monopolar .."uosC(JPY:;. 1 he unu always rcmemb ...,.~ ihe

IIlSI ;;':llingN II \\'11.< switched orrwub, (p. 1 Brochure)

-compaUble to all brands or Caulery pencil and grouodlng plates '''''j)mtibk", ull brands (If C.UI~"'yI'"""il .. o.:.;,p4".nd t!!\)lmding ptulC!I (P. 3 Cebte, Catall)1U

-aclivation slmulataneoustv possible by two surgeons by using "ClivBllon $lm""3UC"'IlSI~ possible h) I"" •(;,."pl,

hand or twin (001 pedal -ur1''''''1l.:J 1» uSlog II",,,J '" In In fc'()l [,<'onl (P. IBrochure)

-provision for high frequency cord for each unit to be used for provision fur high trequency cord for each unit I(laperoscoplc procedures Ie IL.CJ lor lapllro~copioSprocedures

·CooIJ.~~J. [Jro"iuetl with adapter for InpllrctS<;\IPICpr•..,.,Jure>< (P. 4 Brochure)

UTILITY REQUIREMENT: UTILITY REOUIREMENT:

220V~illI1S and Absolpt,on; 2301110 +1-)10':\N-

."~'l1lphtso1bQH'l- 1.'010VA. Mllins fuses' T S A-(c;.,ist .. r t..chni ... 1F.... tur ..s)

219, r.....g....,.l< r:'rlr.... 1 1.1... . ;,;._;

. ----- -------

· . -- ---,... -.. ~ ---- ,,_ ..,,- --. - ..PROCiJRINGtNtrtY

..- - BtDOElf's"O-FFER.DIODER'S

Specificauen lIS Technical Offer Specification 8.' Technical Offer !,'TAT£Mt.!'<T OFCOM1'1.IAN<;£

ACltESSORlES. GONSUMABLES,SPARE PARTS, OTHER COMl'.Ot{£HT ACCESSORIES, CONSUMAllt ..E5, SPAREPARTS, otHEl( COMPONENT

must be provided IMlh medical grade carts .,.;th wheels fit forthe equipments "';th drawers! compartments for storage of -Saviour MeDevice 5 Inc. must provide a • Complyparts and accessories medical grade carts with wheels fll for the

equipments with drawers! compartmentsfor storage of parts and accessories

Comply to this statementEtMBONMENT AL RE9.UIREMENTS ENVIRONMENTAL REQUIREMENTS

operating temperature: room temperature pperating temperature: room temperature·Compty

.. operating temperature: 10-40CP.9 Brochure)

Q!;UYERY DELIVERY

30 1060 days from the receipt of Purchase Order 30 to 60 days from the receipl of Purchase·I.:ompt)

Order.Before delivery, supplier must call the Materials Management

Before detivery, Saviour MeOevices. Inc.Section for delivery coordination to avoid non-acceptance or delayin aCGeptance." - must call the Materiats Management

Secllon for delivery coordinatlon 10 avoidron-acceptance or delay in acceptance -Comply 10 this statementPlease see attached certificate)

TRAINING, INSTALLATION Ii UTILIZATI.ON TRAINING. INSTALLATION frUTILIZATION

provide training for end users and Medical Center~aviour MeDevices, Inc. "";11provide

•(.:!lropl)maintenance engineering staff/biotech prior to acceptanceof equJpmenls ~ining for end users and Medical Center

rnaintenance engineering staf!lbiolech prioro acceptence of equipments - Comply tohis statementPloase see attached certificate}

WARRANTY WARRANTY

two years warranty on parts and quarterly maintenance service Saviour Me Devices , Inc. ~II provide Two.!.:(,mpl)

and as needed during the warranty period starting from ~ears warranty on parts and quarterty

acceptance of the equiprnents ~alntenance service and as needed dunng~e warranty period starting fromacceptance of Ihe equipments - Compty to~is statementPtease se-e attached certificate)

DOCUMENT ATION DOCUMENT ATIONoperaUng and service manuals in english language or "';th fSaviour MeDevices. Inc. "";11provide

·Cumplyenglish translation for each unit

pperaling and service manuals in englishanguage or "';Ih english trans/aOOn (or

~ach unit - Comply to this statementPleaso see attached certificate)

SAFETY 6: ST ANOARO SAFETY Ii STANDARD

declaration of conformity with European and American Saviour Me Devices, Inc. \'>111provide. (\)lIlrtl

standards approved as issued by the manufacturer, or FDA declaration of oonformity .,.;th European

approval of the equipment and American standards approved asssued by the rranutacturer, or FDAapproval of the equipment- C-ompty to this

~M:~~Ge~lealtaeMd cortlflcllt"__ . __

.__ -- -@TIPfIDTRUE COpy

~VIOUIl MEO£VlCES. IHC.

I C:'::'''':'-~'''i,',,,Ul Copy r: c!~.if.'"p;.~.-- ~

--_______ ~,~~~--------

220

(' Name and SlgnatUf& 0/Authorized Representative

(Sgd.] EUZAsEtB V. PAUfJes, MD. FPNAFPPS,FCNSP

BAC Chairman

22"

1-------------C .-,';;.,r\;: '~O!;l Vrrf"IV .t!.I.• _",-], ~t'.1

IUL_'''__'__ ,--_ .... .-....L..__-.L-f.Pt.~--

'.. '.:

PURCHASE ORDER"

BATANGAS MEDICAL CENTERSupplier: DYNAMED HEALTHCARE lNCOR.PORATEJ) P.O. No. 21-.10-()298Addre,u: Jrd FJoor:M,wpTOCtlS Bldg. ~ TomBS Mafate Ave, D8te~ 18 dctober. 2021

.Brgy: '!ristons Han. Quezon e'i:x ,.

TIN: ~920-3IS:OOO' , Mode 01Procuremeot: PBAUG2021

Gentlemen: "., ......: .,._

Please furnish tbifOJ:li.ee the foUQwing ~cle$ sUbject to the terms and COi1UjtiPbS contained hete.in:'Place ofDeliverY~ 'B_tallS.s Medical Center Delivery term: NO P,O. NO AcceptanceDate of Delivery; 60 calendar ..d!X,! ueon recti! of P;O. Payment Term: 30 days upon complete delivery

Stock:!Property Unit Description Quantity Uni!Cost Amount

No.I unjt ANESTDSlA MACIllNE WITH CARDIAC l' 1,499,500.00 1.499.500;00

e

MONITOR AND CAPNOGRAPHBrand: PENLON

rr~l1ic(l1 Spejicijic(ltions (lU4(:hed)

!~~Ib~:l1 -!atang.s T\ edical C~r)l~r

8 ;f4:--~~ COMISSIO N ON AUDIT

Nota;lS:~~ REel iP!~p.Pteese attach 1M ~if ~bI&.~pon deIvery ~y . Rosa

, CntlA.r t42 .ttachment Ml ~ of dwlJveryJ " ~:)te , /t T",,,,, },nO"ij., r

'1/01/1 o(});ll1: Cerlfflaate of Product Regi$tratioJJ from FDA line / ~:"2.. o.ttifIca(o 01 Good MallUf80turing prtIcticG from FDA

3. Batch Release Cerlificaie from FDA

TOTAL 1.499.500.00(TQtal Amount in Word~) tOne Million Four Bundled Nlnety;..nltie Thuusand.n~Hundred Pesos only

In Q8Se'offaifure re m~ lfi~full dellvery withrn"tl'ii.ltme ~ifjed abl?~e:ap(lnalty ofQ,Qe.th(~/l() of'cne (I) peroent for, . .... , VeryttulY:1'0ut~ y\'/" ..

C""w"M' llt.:Ie1\~'~

RAMONCITO C. MAGNAYE,MD,r~S,MHAMedical Center Chief n2 i OCT ""' ..."".

1U11Si~ over p~ e of Supplier

Date ~1:)1t. j ...~.2.jFund Cluster: VI " . O:RSlBURS No.:l'uncts Available: J tIIOO,~'(JO Dmo ormo ORSI'DU.RS:

Amenet: 1,499,500.00,c CARMIN~LO.CPA l1tvccoun JVJ~}1vd.t .c.:

JX)B Government ActJotmling Manua!Page lojl

'~_.• I.... _.. • •

,.~~ .. ~;.


TECHNICAL SPECIFICATIONSSUPPLYAND DELIVERYOF VARIOUS MEDICAL EQUIPMENTIB202l-

OllA - SETI


Specification as Techn ical Offer

ITEM 9: 1 set Anesthesia Machine with Cardiac Monitorand Capnograph

t\BC: PHP 1,500,000.00


ITEM 9: l set Anesthesia Machine withCardiac Monitor and Capnograph

BIDDER'SSTATEMENT crCOMPLIANCE

Comply

ANESTHESIA MACHINE with MONITOR with Capnograph. Fordelivery of general anesthesia in patient requiring surgery.

ANESTHESIA MACl-IINE with MONITOR Complywith Capnograph. For delivery of generalanesthesia in patient requiring surgery.

IrECHNICAL DESCRIPTION

1. MAIN GA.O;SUPPLY:Oxygen, air2. PIN INDEX SUPPLYSYSTEM:Oxygen, air3. VENTILATION MODES:

3.1 with atleast 5 ventilation modes: VCV, pcv. PRVCor SIMV, SPONT/PSV andManual

4. BREATHING SYSTEM:4.1. The volume of the compact breathing system and C02absorber must be 1.5-6L excluding hoses and breathing bag.

4.1 The volume of the compact breathing system and C02 absorber must be 1.5-2.0excluding hoses and breathing bag.

4.2 Volume of C02 absorber reusable canister must be 1.D-2.0L4.3 With breathing system that can be detached from the main unit w/o tools

required.4.4 Breathing system should be separated from the main unit with mounting4.5. Pneumatically driven

5. ANESTHESIAGASSUPPLYMODULE:5.1. Range of fresh gas flow indicators: 0.0 to 12.0 L/min.5.2. 02 flush5.3. With metering valve and dual flow tube for fresh gas.

1.2.3.

Gas Supply: Oxygcn,N20 Air.PlN JNT)F.X SUPPl.Y SYSTF.M: Oxygen, AirVentilation Modes:.1.1. Up to 6 ventilation modes: VCY,PCV,

PRYCor SIMY, SPONTfPSY and Manual

r-::0mply ( brochure p.21!compl)' (brochure p. 3)~oll1ply (brochure p.1 andp.2)

4. Breathing System: 'r-:omply (brochure p. 2)4.1. Absorber Capacity: 1.6L4.2. Volume of C02 absorber reusable canister fc0mply (user manual p. 19)

is 151.

4.4. Breathing Bag Support ArmThe bag arm (1) can be rotated to position the bag for ease ~omplv (user lI111l1UBI 1'.11 )pfuse when manual ventilation is applied

4.5. pneumatically driven

p. Allesthes~. ?~.(~~~~~~~e: !comply (user manual p. 13)5.2.02 flush !comply (user manual p. 25)5.3. With metering valve and dual flow tube for Complyfresh gus

4.3 Bellows HousingThe bellows housing (11) provides an airtight

ompartment for (11) the breathing system bellows.

IV

iromply ( user manual p. 19)

iromply ( brochure p.2)

Page 78

\



6. VAPORIZER6.1. With 2 Selectatec mounting vaporizer (standard of One (1) unit Sevoflurane

vaporlzer-keyflll(1) unit Isoflurane vaporizer-keyflll

7. HEATING MODULE:7.1. With ventilator heating module that prevents excessive humidity in the system.

S. FLOW SENSOR:8.1. With constant temperature hot-wire flow sensor.

9. AUXILLARY LOW FLOW OXYGEN:9.1. With Integrated Low flow Oxygen supply for mask and nasal cannula application.

10. WRITING TABLE/DRAWERS/MOUNTING:10.1. With at least 2-3 drawers as storage for other accessories.

/~ 10.2. Preferably with a fixed or retractable writing table that can hold at least 10kgs

.1. ADVANCEDAND SAFETYFEATURES:1l.1.Functional even the battery Is completely discharged, all pneumatic functionscontinue to be available iAPl valve, breathing pressure gauge, cylinder and pipelinegauges, fresh gas and agent delivery, and 02, AIR, flowmeters).11.2.Manual or spontaneous ventilation can be maintained during powerfailure anddischarged of battery.11.3. In case of no power and totally discharged battery, machine can be shiftedtoVentilator mode to Manual mode

12. POWERINPUT DATA:

12.1. Power Supply: Rating non-configurable 100 to 240 VAC, 50/60 Hz, 145 VA

12.2. Battery Operation time: minimum 90 mins

13. PARAMETERS:13.1. Minimum Tidal volume (Vt) required: 10 to 1600ml

13.2. Breathing Frequency (rate): 1 to 60 bprn (l/min)

13.3. Inspiratory pressure: PEEP,011,3to 30 cmH20

l3.4. Inspiratory Flow ilnspFlow):p to 0 to 60L/mln in Volume and Pressure

13.5. Inspiration pause: 0 to 50 %

l3.6. Positive End Expiratory Pressure: PEEP0 to 20cmH20

13.7. Inspiration/expiration ratio: (Ti:Te) 9:1 to 1:99

13.8. Pressure limiting: 70 cmH20Range of fresh gas flow indicators: O.Oto10.0l/min

14. ANESTHETIC SCAVENGING SYSTEM:14.1. Transfer Hose, 1 Meter

14.2. Anesthetic Scavenging Holder

14.3. Anesthetic Scavenging Hose, 3Meters

15. STANDARD ACCESSORIES:15.1. One (1) unit 02 Regulator

15.2. One (1) unit Air Regulator15.3. 02 and Air fittings and hose clamps15.4. One (1) unit Adult anesthesia circuitwith 3L bag15.5. One (1) unit pediatric anesthesiacircuit with 3L bag

15.7. Two (2) units power adapter

7.Hcllling Module Comply (Brochure p.J).1. The unit has a built-in heating system and the mainomponents are autoclavable.8.FlowSenso.r: romply

8.1. With constant temperature hot-wire flow sensor.

9.Auxilliary Low Flow Oxygen ~omply (brochure pJ)9.1. Auxilliary 02 outlet


6. V APORJZER~. 1. 2 station selectatec bar

10. Writing Table/Drawers/ Mounting:10.1. with 2 drawers10.2. with writing table

II. ADVANCE AND SAFETY FEATlJRES:

11.1. Accurate mechanical anti-hypoxic device and~utomatic drive gas switching function.11.2. Accurate mechanical anti-hypoxic device and~utomatic drive gas switching function.

11.3. VCV, PCV,51MV-V and Manual

12. POWERINPUT DATA:

12.1. 100 to 240 V, SO/60 Hz, <150 VA

12.2.90 minutes

13. PARAMETERS:I J.t. Lower limit: Off, 10 to 1600 ml

3.2. Lower limit: 0 to 100 bpm

BIDDER'SSTATKM"NT OFCOMPUANO:

Comply (Brochure p.2Prima 320 brochure p. 3)

!comply (brochure p. I)

Comply (Brochure p.3)

Comply (Brochure pJ)

Comply ( brochure p. 3)

Comply (brochure p. 6

.ornply (brochure p. 6)

~omply ( brochure p 5)

~omply (brochure p. 4)

~omply (brochure p.4)


~ompl y ( broch ure p. 4)

~omply ( brochure p.4

~omply (brochure [>.4)


!comply (brochure p. 3)

omplyComplyComply'omply.omply

Comply'omply

Comply

Comply /\\UComplyComplyComplyComplyComply

/1/

13.3. Inspiratory pressure: PEEP, off,3 to 30 cmH20

13.4. 0 to 0 to 60Ljmin in Volume and Pressure

13.5.0 to 60%

13.6. PEEP 0 to 20cmH20

13.7.9:1 to 1:9913.R. 70 cmH20

13.9.02: 0 to 10 L/mln

14. ANESTHETIC SCAVENGING SYSTEM:14.1. Transfer Hose, I Meter14.2. Anesthetic Scavenging Holder14.). Anesthetic Scavenging Hose, 3Meters15. STANDARD ACCESSORIES:15.1. One (I) unit 02 Regulator15.2. One (I) unit Air Regulator15.3. 02und Air fiuings and hose clamps15.4. One (I) 'mit Adult anesthesia circuitwith 3L,",,'II,15.5. One (I) unit pediatric uncsthesiacircuit with"LbIlSIS.7. Two l2) units power adapter

P'!III"t, 7Q


BIDDER'S;

Specification as Technical Offer Specification as Technical Offer STATEMENT O~COMPLIANCE

CARDIAC MONITOR~ECHNICAL SPECIFICATIONS:

DISPLAY/WAVEFORMS: DISPLA Y fW A VEFORMS:

1.1. Screen Size display: 12-14" color TFT screen1.1. Display: 12.1inch color TFT(touchscreen) Comply (brochure p. I)1.2. Screen Navigation: Comply (brochure p.2)

1.2. Screen Navigation: 1.2.1. Touch screen ~llmply (User Manual Jl. 8)1.2.1. Touch screen 1.2.2. Hard keys located at the rightpanel of the monitor, Comply (User Manual p.TI

1.2.2. Hard keys located at the rightpanel of the monitor, minimum of G minimum of6Comply (User Manual p.7)Comply (User Manual p.7)

1.2.3. Ten (10) or more Fast Access keys andsimplified Menus 1.2.3 (14) fast access keys and simplified menus) ~omply (User Manual p.7)1.2.4. Navigation knob use for modification and confirmation of settings

1.2.4. Navigation knob

CARDIAC MONITORIrECHNICAL SPECIFICATIONS: No. of Waveforms: Maximum of 7 !comply (User Manual p.7)No. of Waveforms: Maximum of 7

waveforms (using standard screenI(:omplv (USL"f manual p.t l

display) iA'arm light

"lith Two (2) separate alarm lightslocated at the top of machine dedicated

.or Technical and Clinical alarm.

2. STANDARD FEATURES: 2. STANDARD FEATURES:2.1. Weight: 5 kg or less only 2.1. Weight: 2.72 kg without battery .omply (UserManual p, I)

3, POWER AND BATIERY: 3. POWERAND BATIERY:

Internal battery duration must be: ~ 350minutes 5000 mAh using 1 battery 3.1. Comply omply (User Manual Jl. I)

only. 3.2.100 V - 24D v-, so Hz/50 Hz

13.2. 100 V - 240 V~, 50 Hz/GO Hz

4. EeG:4. ECG: 4.1. ECGLeads: 3 leads: I, II, III, ~omply (brochure p.J )

~.1. ECG Leads: 3 leads: I, II, III, 4.2.} Gain selection: 1.25, 2.5, 5.0, 10, 20, 4Omm/mV, Auto Comply (brochure p. I)~.2. Display Sensitivity: xO.125, xO.25, xO.5" AUTO gain 4.4. ST measurement range: 2.0mV-+2.0mV (-20.0

Comply (brochure p. I)~.4. ST segment analysis and monitoring mm-+20.0 mm}

4.6. Arrhythmia analysis with up to lGdifferent arrhythmia 4.6. Arrhythmia analysis with up to 26 different arrhythmia (:omply (brochure p. I)

4.7. HR measurement range:Comply (brochure p. \)Adult: lS-3OObpm

4.7. Heart Rate range must be: ADU: 15 to 300bpm, PED/NEO: 15 to 350 bpm Neonate/child: lS-350bpm

r+-: 4.8. Two (2) Heart Rate averaging method. r::omply (brochure p. I )6. NIBP:

5. NIBP: 6.1. NiBP measurement method: Manual, Auto, Continual. Comply (brochure p.l)

5,1. NiBP measurement method: Manual, Auto, Continual. 5.2. Measuring interval in auto mode: 1, 2, 3,4,5, 10, 15,

~.2. Measuring interval in auto mode: 1, 2, 3, 4, 5, 10, 15, 30, 60, 90, 120, 240,30, 50, 90, 120, 240,and 720 min. Comply (brochure p.l)and 720 min S.3.Cuff pressure measuring range: 0 to 300 mmHg

5.3. Cuff pressure measuring range: 0 to 300 mmHg 5.4.Maximum measuring period:5.4. Maximum measuring period:

~omply (brochure p. I)5.4.1. Adult/Pediatric: 120 seconds

5.4,2. Neonate: 90 seconds Auto measure intervals: 1/2/2.5/3/4/5/10/15/30/60/

5.5. Overpressure protection:9O/12D/180/240/480/720min

5.5.1. Adult: 270 5.S.Cuff pressure range:Comply (brochure p, I)

5.5.2. Pediatric: 200 s.s.1.Adult:80-2805.5.3. Neonatal: 145 ±3 mmHg

s.S.2.Child: 80-210

s.5.3.Neonate:60-14D

N~

Page 80

PROCURING ENTITY


Comply (brochure r 2)6. TEMPERATURE:

6.1. One (1) channels Temperature measurements

6.2. One (1) skin type probe

7. SP02:

7.1. With Sp02 measurement7.2. Accuracy:7.2.1. Adult including Pediatric: ±2% (70 to100% Sp02)

7.2.2. Neonatal: ±3% (70 to 100",(, Sp02)

8. CAPNOGRAPH (mainstream):

8.1. Ete02: 0 mmHg to 150 mmHg

8.2. Intended Patient: Adult, pediatric,neonatal

8.3. Measure Parameters: EtC02

. ECG

.1. Channels: 5 channels9.2. Accuracy: ±2% or ±1 mmHG, hichever is greater

9.3. Sensitivity: 5 (IN/V/mmHg)

9.4. Impedance range: 300 0 to 3,000 0

9.5. Filter: DC~ 12.5 Hz; DC~ 40 Hz measurements

10. TRENDS:Trend data for all parameters in tabularand graphic formats must be: 120hours

10.2. Displays atleast 3 measurements10.3. Displays patient information

BIDDER'S OFFER


~.l.. Number of channels: 2~.2. comply

17. SP02:17.1. With Sp02 measurement

17.2. Accuracy:7.2.1. Adult including Pediatric: ±2% (70 to100"'('!Sp02)[7.2.2. Neonatal: ±3% (70 to 100% Sp02)8. CAPNOGRAPH (mainstream):

8.1. EtC02: 0 mmHg to 150 mmHg

8.2. Intended Patient: Adult, pediatric,neonatal

8.3. Measure Parameters: EtC02

9. ECG9.1. Lead type: 3-lead, S-Iead or 12-lead selectable9.2. Accuracy: ±1% or ±lbpm, whichever is greater.9.3.5 (I-lV/V/mmHg)9.4. Bandwidth:Surgerv mode:1 Hz ~ 20 Hz (-3.OdB ~ +O.4dB);Monitoring Mode:O.S Hz ~ 40 Hz (-3.0dB~+0.4d B);Diagnosis mode: O.OSHz ~ lS0 Hz (-3.0dB ~ +O.4dB);ST mode: .05Hz ~ 40Hz(-3.0dB ~ +0.4dB)

10. TRENDS:10.1. Trend data for all parameters in tabularand~raphic formats must be: 160hours10.2. Displays atleast 3 measurements10.3. Displays patient information


~ol11rly (brochure p.2)

~oIllply (brochure p. 2)

Comply (brochure p. I)

Comply (brochure p. I)

Comply~::omplyk-:omply

amply~._'ol11plv~()mply

PHYSICAL DESCRIPTIONAnesthesia machine with ~tleast 8.4-10" color touch screen, LED illuminated~orkspace, Large Capacity Drawer units with castors.

-~l5ize (HXWKD)

maximum: 1450x80(HOoox450-

650mm

Weight: <150 kg

Cardiac Monitor with minimum 12" LED Touch Screen, Alarm light and

navigation knob

Physical Characteristic:

1. Product size: maximum of 350-550mmx300-5OOmmx200-400mrn

2. Net weight: 4.0 to 6.0kg

~.4 color touchscreen

141Ox 1000x650

110kg

12" touch screen

I. 300mm x 155nm) x 278mm26kg

Comply (brochure pi)

ornply (brochure p.r l )

compl y (brochure p, r 1.1

cornpl y (brochure pi)

1 . comply (brochure p. 2)2. comply (brochure p.2)

Page 81

\'-


BIDOER'SSpecification as Technical Offer ~pecification as Technical Offer IsTATEMENT OF

COMPL.IANCE


Standard Requirements:THE BIDDER SHOULD SUBMIT/ATTACH ABROCHURE/CATALOGUE AND DOCUMENT REQUIRED TOPROVE THAT THE BIDDERCOMPLY WITH THEREQUIREMENTS.1. Power Requirement for Electrical/Electronic unit: ~. 100-240 VAC, Comply (User manualA. Voltage: 220 - 240 volts B. SO/60 Hz, ISO VA maximum p.26)B. Frequency: 60 Hz

"(NOTE: PROVIDE AND ATTACH IMAGES TO PROVE THAT)

IACCESSORIES CONSUMABlES SPARE PARTS OTHER"",)MPONENT

~TANDARD ACCESSORIES: ~T ANDARD ACCESSORIES;• One (1) unit ECG trunk cable · One (1) unit ECG trunk cable Comply

• One (1) unit 3-lEAD ECG cable · One (1) unit 3-LEAD ECG cable Comply

• One (1) unit Sp02 probe for Adult • One (I) unit Sp02 probe for Adult Comply

· One (1) unit Sp02 probe for Pediatric Comply• One (1) unit Sp02 probe for Pediatric · Three (3) sizes of NlBP CoIT Comply• Three (3) sizes of NIBP Cuff · One (J) unit Temperature probe, Comply

• One (I) unit Temperature probe, skintype Pedia skinrype Pedia

Consumables: Consumables:Comply

• Blood pressure cuff (Adult, pediatric and neonate) · Blood pressure cuff (Adult, pediatric andneonate)

• Carbon dioxide absorber · Carbon dioxide absorber Comply

• Water trap for side stream capnograph · Water trap for side stream capnographComplyComply

• Side-stream capnograph tubing · Side-stream capnograph tubing Comply• Volatile anesthetics {sevoflurane, isoflurane · Volatile anesthetics (sevoflurane, Comply• Oxygen sofluranc

.......__ · Oxygen Comply• Breathing circuit · Breathing circuit Comply• Oxygen sensor · Oxygen sensor Comply

DELIVERY

30 to 60 days from the receipt of Purchase Order130 to 60 days from the receipt of Purchase Order. Comply

Before delivery, supplier must call the Materials ComplyBefore delivery, supplier must call the Materials Management Section !Management Section fOT delivery coordination tofor delivery coordination to avoid non-acceptance or delay in lavoid non-acceptance or delay in acceptance.

acceptance.

Page 82 \\,


BrDDER'SSpecification as Technical Offer Specification as Technical Offer STATEMENT Of

COMPLIANCE

[TRAINING INSTALLATION & UTILIZATION~cceptance and Maintenance:

!Acceptance and Maintenance:lA. During acceptance: The supplier should Complyconduct actual testing (Qualitative and

!A. During acceptance: The supplier should conduct actual testing Quantitative Test) using calibrated analyzers or(Qualitative and Quantitative Test) using calibrated analyzers or testing esting devices. if not possible via third party.

devices, if not possible via third party. Witness by the end users and Witness by the end users and the technical

the technical inspectors.inspectors. Comply~. Valid certificates of the

a. Valid certificates of the Technicians/Engineers to conduct rrechnicians/Engineers to conductservice/maintenance service/maintenance Comply

b. Valid certificates of calibration of the analyzer and testing ~. Valid certificates of calibration of theequipment. ~nalyzer and testing equipment. Comply

c. Provide Service Report per unit F· Provide Service Report perunit Comply

d. Calibration Certificates or equivalent ~. Calibration Certificates or equivaJent Complye. Acceptance Comply

e. Acceptance f Preventive Maintenance Calendar-, f. Preventive Maintenance Calendar "(NOTE: PROVlDE AND ATTACH Comply(NOTE: PROVIDE AND ATIACH DOCUMENT TO PROVE THAT THE ABOVE DOCUMENT TO PROVE THA T THE ABOVE

MENTIONED ARE COMPLIED SUCH as the ff.)" MENTIONED ARE COMPLIED SUCH as the

List of the Engineers/Technicians with their certificates to conduct IT)" Comply

service and maintenance a. List of the EngineerslTechnicians with

List of the Analyzers/Testing tools with their Brand/Model/Serial No.heir certificates to conduct service and

maintenaoce Complyand its valid certificate of

~. List of the Analyzers/Testing tools withcalibration)" their Brand/Model/Serial No. and its validSample/Template of Service report and Calibration certificate or Fertificate ofequivalent alibration)" Comply

d. Sample/Template of Preventive Maintenance Sticker . Sample/Template of Service report andComply

e. Sample/Template of Preventive Maintenance Calendar iCaLibration certificate or equivalenticL Sample/Template of PreventiveMaintenance Sticker Comply

e. Sample/Template of PreventiveMaintenance Calendar

~ARRANTY

'.A. Warranty Replacement: In case of unit A.Wan·rulty Replacement: In case of unit Complymalfunction the bidder should replace the unit with a brand malfunction the bidder should replace the unit withnew unit within three months from the start of the warranty a brand new unit within three months [rom the

period. start of the warranty period.

B. Service and Parts Warranty: at least 2 years warrantya.Service and Parts Warranty: at least 2 years Complywarranty

or both service and parts with annual preventive maintenance service for both service and parts with annual preventi venaintenance service

Page 83


Specification as Technical OfferBIDDER'SSTATEMENT OFCOMPLIANCE


WARRANTYC. Service Unit:

a. In case of Unit Malfunction,Bidder must provide a service unit within 48 hours until such time thatthe unit has been repaired or replaced.b. Bidder must have 24/7 readily availableechnician to provide technical service and support within 24 hours

from report via phone call or email in case of machine breakdown or asneeds arise.D. Warranty Certificates: Comprehensive WarrantyCertificates, must be included and define in the contract"(NOTE: PROVIDE AND ATTACH SAMPLE/DRAFf FORTHECOMPREHENSIVE WARRANTY CERTIFICATES)"

DOCUMENTATIONa. Certification from the manufacturerauthenticated by the Philippine Consulate from the country of origin ofhe anesthesia machine that the warranty should not be

affected with the change of distributor.In case said Certification is not available in time of Opening of Bids,Bidder must submit it during delivery, if availableb. Bidder's certificate that the parts shallbe available at the authorized Philippine service center/s for a period of5 years after the warranty period, If available.c. Certification from the manufacturerauthenticated by the Philippine Consulate from the country of originhat. anesthesia machine has been in the local or international market

for at least five (5) yeNs.For demonstration/confirmation ofspecification du ring the evaluation.

WARRANTY ComplyC. Service Unit:a. In case of Unit Malfunction, ComplyBidder must provide a service unit within 48 hOUTS

until such time that the unit has been repaired orreplaced.b. Bidder must have 2417 readily available ComplyTechnician to provide technical service andsupport within 24 hom'S from report via phone callor email in case of machine breakdown or as needsarise.lo. Warranty Certificates: Comprehensive ComplyWarranty Certificates, must be included and define~l the contract"(NOTE: PROVIDE AND A IT ACHSAMPLEIDRAFf FOR TH.E Comply~OMPREHENSlVE WARRANTYCERTLFICATES)"

a. Certification from the manufacturer Comply~uthenticated by the Philippine Consulate from tilereuntry of origin of the anesthesia machine thatthe warran ty should not beia£rected with the change of distributor.In case said Certification is not available in time ofOpening of Bids,Bidder must submit it during deliveryb.Bidder's certificate that the parts shallbe available at the authorized Philippine servicecenter/a for a period of 5 years after the warrantyperiod.

Comply

Certification from the manufacturer Complyauthenticated by the Philippine Consulate frOIDtheCOUUITy of origin that anesthesia machine has beenin the local or international market for at least [ive5) years.

d. For demonstranon/confinnarion ofspecification during the evaluation.

Comply

SAFETY & STANDARDISO certification (\ \\

RICH'j:J MANTESName and Signature t' A~OriZed Representative

Page 84

ISO certification Comply

(Sgd.) ELIZABETH V. PALINES, MD, FPNA,FPPS,FCNSPBAC hairman

;~

PROCURING ENTITY BIDDER1S OFFERBlDDER'S -

Sptdticatio9 8S TeebaicaJ Offer Spet:U'itation as T«hRieal Offer ST'ATEME-Nl' OFCOMP.LJANCE

WA8AANTV WARRANTY COMPLY

A. Warranty Replacement: Itl ease of unit malfunction the bidd4!r should O. Warranty Replacement: In case of unitCOMPLY

replace the unit with a brand new unit within three months from the malfunction the bIdder shouldreplace the unitstart of the warranty period. with a br.nd new unft witltln three mOfltn.s

from the start of the Warranty perfod.B. Setvice and Parts Warranty; at least two (2) years for both serviCeand parts wlth quarterly preventive maintenance service E. Service and Parts Warranty; at least COMPLY1'_ (2)y'''' "" b"tI"._ and partsC. Service Unit: with quarterly preventive maintenancea. In ca~e of Unit Malfunction, Bidder must provide a service unit within service

14·72 hour50until such time that the unit has beert repaired or replaced.~dder must have 24/7 readily available TechniCian to provide F. Service Unit: COMPLY

l«:al service and support Yi1lthin24 nours from report via phone call .a. In case of Unit Ma.lfunction, Bidder must COMPLYor email 10 case of machine breakdown or as needs arise. proVide a serVice unit wlthfn24· 7Z hours until

such time that the unit has been ~epaifed orD. Warranty Certificates: Comprehensive Warranty replaced.Certificates, must be lnduded afld define In the contract b. 8idder must have 24n readily available COMPLY

Technician to provide technical service andE. Unit, parts, and consumable$ should be available within 5 years. support within 24 hours from report Ilia

phone callor email in case of machine"(NOTE: PROVlOEANDATTACHSAMPLE/DRAFTFORTHE breakdown or as needs arise.COMPIlEHENSNE WAAAANlY ctRTlFICATES)"

O. WarrsntvCertlficatecs;: COMPLYComprehensive WarrantyCertlflcates, must bie-Includedand define in the contract

II

E. Unit, parts, and consumables should be COMPLY.r>; available wlth'n .5 years.

Iu{NOTE;PROVIDEAND ATfACH SAMPLE/CRAFTCOMPLYfOR THECOMPREHENSfVE WARRANTY

~RTlFICA rES)" ~ple~sesee attached certiflcate

- ...tB2(l21-Ol1B_suPPtYANO DfllVERY OF VARJOIJ

DOCUMENTATION OOCUMENTAIJOI'i COMPLY

a. Certification from the manufacturer f_ Certification from the manufacturer COMPLYauthenticated by the Philippine consulate from the country of origin of authenticated by the Philippine Consulate COMPLYthe hOSpital equipment/ machine that the warral1ty should not be from the country of origin ofthe hospItal COMPLYaffecte-d wlth the' change of dl$tributor. f:!qulpment/ machme that the warrantYIn case said CertIfication is not available in time of Opening of Bids. should not be affected wfth the change of.Bldder must submit It during delIvery dtstrlbtrtor.

In case said Certification Is not available fn time COMPLYb. Bidder's certificate that the parts shall be avaUable at the authorized of Opening of Slds,PhilipPine service center/s for a period of S years after the warranty Bidder must submit it doring delivery COMPLYperiod.

g. Bidder's certificate that the parts shall be COMPLYc. Certification from the manufacturer available at the authoritedPhilippine servk;eauthenticated by the PhHfppme Consulattt from the country of origin center/s for a period of S years after thethat hospital equfpment/ machine has been in the Jocal or warranty period.International marketfor at leastflve (S)yeara.

h. Certiff<;atlon from the mamsfacturer COMPLYd. for d'emonstratlon/confirmation of specification during the authentl«lted by the Pbfltpptne o;nsulater'\ation. from the country of origlt'l that hospital

equIpment! machine has been In the locale. Ust of essential spares ant! acce.ssories. with their Part number and or international marketfor at least five (5)cost. years.

i. for demonstration/confirmation COMPLYof specification during thi!evaluation.

Ust of essential spa res and aecessortes, with COMPLYtneif pan number i:ifideo$l,

~

CE:;,i\iAli'tfl(·r," ;:,1.1""('" ~ T

;is '.'~...~·~~~"'\TiVE

1~'1t ; -, tc.

3i31~~t~Jt'ot~.ye-:i/J(~.C'::;\11 .~mtc. ihu<s. capfm l!i®gll ,;Z1l1,et:m, .1

I _Q~':dP' {nn.~ I162021-011B_ SUPPU' ANO O€UVERY OF VARIOUS ME

Spedneatioo il$ l'ecbnkaf Offer

DOCUMENTATION

Sho Jd provide 2 sets (hard copy aaQ.~~MfI1, U r, technical and ~~blAtWfS:Il~lied InEngl h language along with miKhine diagrams.~2. Li of equipment a~qu~ ~nam'~tion androut e maintenance3, S ice and operation manuals {orIginal and Copy} to be provld!§qm

anced maintenance tasks docul'nentatlcm lIdlI ':!IN'-'''TnI''~tificate of calibration and Inspectiont of essential spares and accessorie$,with their part

ber and cost.

uld be US FOA/CE/8IS/CDSCO approved2. M nufacturer should have ISO13485 certifICatIon for quality "


COMPLY

COMPLY

COMPLY

COMPLYCOMPLY

COMPLY

COMPLY

COMPLYCOMPLY

'10S:nI

.:)

S~UJPPJg pallB.t{ OM..!-JuawaJOJOJdpaJB»o~aN: q~no.rrn .I;}UOl.lInM. 1UJ £ 'Jar .I;}~J9leCt&A%tmHt.[IjIll_a;LlMBfpp»R.ms,FCNSP:)A!suods~lI p~l'Bln:JI'BJ lS~M<YJ~lp S'B"3UI "nlld UOPBWOJDVsOld S;)~N211c'J~~~~'BP~P 01. 'q

~S~ll!Pp!a P;}D8.t1 OMl.-JU;}W;}.In30.ldpaJBpO~aN: rpJno.tql .tI<IV lIJIM .I;)lUJ.ld uop3un.tl-mnw .I;)S8'1 .IaJuI.ld JO ructnamoord~qllOJ l~pp~S: ~A~suods;}l1P;}l'Bln:JI'BJlS;}MO'1;}ql S8 S33JA.1;)S~ S;}18SlIUI p33N: ;}mp;}p 01. ''B

Aq;}l;}qS! l! S'B

'JIA'10S:nI Aq:;)l;}q':;):;)mUIUIOJSpl'BMV pu-u sP~S: ~4lJo sl:;)·<¥C~~>JA~~~~~ONI))(AS I


TE CH N:'C~r~PEtTFfCAnrlON~ 'SVmI:UIM

SUPPLY AND DELIVERY OF VARIOUS MEDICAL EQUIPMENT SET 2sa:JIA"Mas 'il sa'TV'S)lN! Ga3:N 'z

OO·OOS'tltdllcl :::>HVnnt,tH::.lmnlntru O~ratlng Table is design for ophthalmology operation

rgleal procedures. It be lowered to a very low height from floorvery for ophthalmic surgeons or eye doctor to operate while

column eiectrical system with adaptive chassisof base unit: at least 60 kg

capaclty patient (s~tjc load): at least 20D~J r1l3~p~wS'E£~mfibil:lh1iQi§fW:~~~iWll:18~iifI;OO~~l~qn:::>~alS¥JIQJ~II=ootnrlntwt(aQa~.U,t$~.M.~l-etiI 6®mf9\$ll{l.x1f)

adjtI)A!I!'..n'61t(~~'~JUO::> .10 J<l~pnH D<lA,O.l(IkI~:~~W~~'U~'¥'lW1ii\\te'S\I~I:ja""""0Ii~-a,,...adj~stmeYiHWli?~jl ~~·1$.Q·1)tre '(OO·OOS'O€ldqcI)

adjt!lfmeh't; up:)j.~ IdOW~~(J"<lUQ JO (::>UV) P1UJUO::> .I0J J<l~pnH pat~0Ildt:l!",pllift"'Adl!m~m1,,"*ol_l"AI}P·.I;JSll'1 .I;JJUJ.lcI JO snnn (E) <l;J.lqJ JOP:;)lllHog:;)N oi UOn'Bl~AUJ :;)"lp posnraxpa

I'ne.151,UIl::i: Tabletop length/width - at leastaDIIEltC)ll €!evafton(up/down) - at least 7oo/500mm

IW"'\~'\t, Hbs, kg}: WA(in dBA): NA

Hei,t IllltSSll)&thln: NA

COMPLY

COMPLY


UTJYll R£O.UtR£MENTS COMPLY

Power requltements: Electrical Requirement: 100-240 VSO/60Hz8attery operated: NA

External charger: 220 - 240VAC 60 HzProtection: NAPower consumption; 60-9OW

UTJUlY REQUIREMENTS

Power reqUirements: ElectricalRequirement: 100-240 VSO/60 HzBattery operated:, NAExternalcharger: 220 -24OVAC60 HzProtection: NAPower consumpnon: 60-90W

COMPLY·COMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLY

ACCESSORIES, CONSUMA8LES, SP~RE PARTS. OTHERCQMPQNEN!

COMPLY

1. Footswitch for height adjustment of the bed2. Surgeon's cbair - ba~eryoperated

Adjustable armrest support wlth lSO-degrees rotation.~justable backrest rn,height

.'ith double brake system on the wheelsChair top diameter: at least 420mmMinimum height~460mmElevation range: at least 140mmSeat material: synthetic leather with foam

ACCESSOkIES. CONSUMABlESj

spARE PARTS. OTHERCOMPONENT~.Footswitth for height adjustm.ent ofthe bed~~sur-geo~s,'Chalr:- batt~ry operated

Adjustabte armrest supportwith 180 degrees rotationAdjustable backrest in heightWith double brakesystem on thewhee!sChair topdia~ete(:atleast420mm Minimumheight: 460mm,ElevatiOIl ra.n~e: at h~ast140mm

J',>eatmateriel; synthetic leather withIfoam .

cOtvIPLY

COMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOtvlPLYCOMPLYCOMPLYCOMPLYCOMPLY

£NVIRQNMENTAL REgUIREMENTS COMPLYCOMPLY~

Sf ) condition: Capable of being stored continuously in a.mblenttemperature of 0 to 40 deg C and reJat,ivehqroidlty of 15 to 90"~

Sterilization not required.

Disinfection: Parts of the DevIce t-haf are designed to corne Into contactwIth thE! patient Qf ,he -operator shQuld~lther be capable of easydiSinfection or be protected by a single use/disposable cover.

ENVIRONMENTAL REQUIREMENTSStorage condition: capable of beingstored c.ontlnuously in ambienttemperature of 0 to-4P <leg Cand relati~htJrnldity of 15 to 90%

Sterllitation not required.

!plslnmction: PartsoHhe Device that are~ned to come into contactwlth tbJ! patientor the operator should either be capable ofeasy disinfection or be protected bv a singlepse/dlsposable cover.

COMPLY

COMPLY

DELIVERY DE1IVERV COMPLY

COMPLY

PROCURING EN1fTY BIDDER'S OFFER

Specification as Tecltuital OtTerSpecification as Teebnieal Offer

TUINlNG, U§fALtAnoN , UTILIZATION TRAINING. tNSTAlIATlON & UTILIZATION

Acceptanc. and M.lntenaT\(le;A. During acceptinte:' the suppliet shQvtd conduct actua-l testing(Qual.ltatllle and Qljai1~itative T$t) us.lng c:a{lhratedana!.yzers ortestlngdev)ces. Witnessed by the end users- and the technicalInspectors.

a. Valid certificates of the [email protected]'$ toconductservice/maintenance

b, Vatid certificates of calibration of the analyter andtestlngequipment.

c. Provide Service Report per unitd. Calibration CertifICates or ~uivalente. Atteptance

/-~eventive Maintenance Calendar

Acceptance and Maintenance:A. Doring acceptance: The supplier shouldconduct actual testing (Qualitative andQuantitative Test) using calibrated ana1y1ers ortestingdevices. Witnessed by the end users andthe technical inspectors.

a. Valid certificates of theTechnlclans/Engll')eers to condud

service/maintenanceb. Valid certificates of calf brat Ion ofthe arnliy2el' and testlngequlpment.

c.f'rovide Service Report per unitd.Calibration Certificate$' Qf .equ1valente.•Acceptance

~.Preventi\le Maintenance Calendar

"(NOTE: PROVIDE AND ATIACH DOCUMENT TO PROVETHAtTHE ABOVE M~NTIONED ARE COMPLI£D SUCH as the

ff.Y'a. Ust of the Englneers/T edmltians With theircertificates toconduct service and maintenanceb. Ust of the An&lyzers/Testlng tools with their .

~/ModellSerial No. and its validc"' .• d1cate of calibration)"c. .sample/Template of S~ce report andCalibrationcertificate or equivalentd. Sampfe/Template of Preventive Maintenance Stickere. sample/TempJate of Pre'w'entiVeMaintenance -calendar

NOTE: PROVIDE ANO ATTACH DOCUMENTTO PROVE THAlTHE ABOVE MENTIONEDARE COMPUEO SUCH as the ft.)"Ia.Ust of the Engineers/Technicians with!theircertificates toconduct service andiMGlntenanceb.Ust of the Analvz'ersj1'estingII-ooiswith their8rand/Model/Serial No. and its~alld certificate ofcaiibrationY'c.sample/Template of Servicereport and Callbrationcertif~te orequivalent~.sample/Template of PreventiveMaintenance Stickere.sample/femplate of PreventiveMaintenance calendarTRAINING, INSTAUA110N & UTILIZATION


IPre- Installation requirements: Availability of S Amp/iS Amp.Elearical$o(;ket ------~-------------

If <:t!'RT'F~ue CO" I\ c=_~

DlDDF..R'SSTATEMENT OFCOMPIJANC&

COMPLY

COMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLYCOMPLY

COMPLY

COMPLY

COMPLY

COMPLY

COMPLY

COMPLY

COMPLY

COMPLY


Specification as Tecbnical Offerr-----------------------------------------~--~~----------------------------,_r--~~~------~UIOBER'S


Specifiestiofl as l'etbnic1\1 Offer

WARRANTY WARRANTY

A. Warranty ReplaCQment: In use of unit malfunction the blddel'shouldreplace the unit with a brand new unit-within three months from thestart of the warranty period.

A.Warranty Replacement: In case of unitmalfunction the bidder should replace the unitwith a brand new unit within three monthsfrom the start of the warranty period.

B. ServIce and PaiU Warranty: at leasttwo (2) years for both serviceand parts with quarterly preventive Illaintenance .service S.5etvice and Parts Warranty: at least two

(2) years for both ser.vlceand parts withquarterly preventive maintenance serviceC. Service Unit:

a. In case of Unit MalfunctiOn, BIdder must provide a service unit within48 hours until such time that the unit 03$ been repaired or replaced. G.Service Unit;b.~er must have 24/7 readily available Technician to- J)fovide aJIl case of Unit MalfUnction, SJdder mustts ;al service and support within 24 hours from report via phone call provIde a service uIIlt within48 hOUfS untilor email in case of machine breakdown or as needs arise. such time that the unlt has been repaired or

replaced.b.Bfdder must have 24/7 readtlyavallableTechnician to prOVide technical service andsupport within 24 hours from report viaphone caller email in case of machine

O. Warranty Certlficates: Comprehensive WarrantyCertifk:ates, mlJ$t be included and define In the contract

E. Unit, parts, and eonsumables shOUld be available within 5 ~ar5.breakdown or as needs arise.

"(NOTE: PROVIDE AND AlTACH SAMP1..E/ORAFTFOR THECOMPREH~NSIVE WARR,lWTYCERTIFICATES)" D, Warrartty Ctrtificates:

Cqmprehensiw WalTantyCertificates. must be Includedand define in 'the contract

E. Unit, parts, and consumabies should beavaOable within 5 v~;m.

[Io\N01E: PROVIOE AND ATI~Ct\ SAMPLE/OAAfT1roR. THECOMPREHENSIVE WARRANTYicatTIF1CA TES)"

\,

COMPLY

COMPLYCOMPLY

COMPLY

COMPLYCOMPLY

COMPLY

COMPLY

COMPLY

COMPLY

COMPLY

\_::-::=;.:W~----tB.2.Oll-011S_SUPPlY AND DEUVERY OF VARJOUS MEOlCAl. EQUIPMENT SET 2

DqCUMENTA!fQN -; tlOCuMEt{!AI!ON COMPLY

a, Certification from the manufacturer ia.Certiflc;ation from the manufacturerCOMPLY

authenticated by the- Philippine Consulate from the country of origin of authenticated by the Philippine Consulate COMPLYthE' hospi'tal eQuipment! machine that the warranty should not be from the country of orIgin ofthe hospitalaffected with tne: mange of diStrioutor. equipment! machine that the warranty COMPLY

In case said Certification Is not available in tftne of Opening of Bids, should not be affectetl with the change of COMPLYBidder must submit it during delivery dIstributor.

In case said Certification is. not available In time COMPLYb. Bjdder's certificate that the parts shall be avaUable at the authorized of Opening of Bids.

Philippine service center-js for a period of 5 vears after the warranty Bidder must submit itduring delivery COMPLY

period. COMPLYb.8idder's certificate that the parts shall be

c, Certification from the manufacturer available at the authorlzedPhilfppine service COMPLYauthentfcated by the Philippine Consulate from the country of origin center Is for a period of 5 years after the

that hospital equipment! machine has been in the focal Of warranty period. COMPLY

International marketfor at feast fIVe (S) years.,Certification from the manufacturer COMPLY

d. For demonstration/confirmation of specification durrng the authenticated by the Phlllpplne Consulate

ev"'--"'tjon. from the country of Origin that hospitalequipment! machIne has been in the local

e. list of essential $P!H~Sand alNessor~s; with their part number and or international marketfor;it least five (5)

cost. years.

~.For demonstration/(;onfirmation!of speCification during the COMPLY

~valuatlon,

te.List of essential spares and accessories, with COMPLYheir part number anlir..Q..t;t_please see.attached certificates)

AUTH~f.~R ~,~~""MTC OPTO - MEO!C It'.fe,

!7S 'tAKA!. sr, M!'Jil\l! ':I:'~'&.;;1 ROfiGl.JJl_LO :>T, o.ViA'<', f!;!l.II'U

fEL. NOS. 815·155; rc 5!>f -MAIl APDF.l~-.li,li.."""'_-------sale!l@mh:~iI C3fe.CO;l\ •• :., ~, ..... f'fV

mh:-.jhc1ra.Gabfr.': @~.t~1O::"': ','" U)~'''' 1I

~ ...._.._...,.,...,. i.

PMt!N'I""SET 218l021-O118_ SUPPLY AND DELIVERY Of

r

'"-. --

• ',.

PURCHASE ORDER.. BATANGAS MEDICAL CENTER

':1

Supplier: QUALITY MEDICAL TRADING P.O. No. 21.1Q-02$7» .. '

Unit 305, Aloha Plaza Bldg. 424 iandai'lg SOfaAddress: Avenue, ergy. Culiat, Quezon City, Metro Manila Date: October 18, 2021

r~h

TIN: Mode of Procurement: PB·August, 2021,~,

,"

: .r:

Geriilemen:"

Please fUmlsh this Office the fOllowing articles subject to the terms and conditions contained herein:

PlaCe of Delivery: Batanga~ Medica} Cent~r Delivery Term: NO P.O .• NO Acceptance

Date Of Delivery: 60 calendar days UPOI'lreceipl PO Payment Term: 30 days upon complete delivery

stock!Property Unit Oesciiptlon Quantity Unit Cost Amount

No~

• :

unit Low Intensity Laser 1 244,000.00 244,000.00units Hand Dynamometer 3 49,500.00 14,.500.00

.. units Hand ExerctseJPower Web 2 ?? ooo.oo 441000.00unit Biofeedback MaChine if -,

1 29f1j§~ S Medictil ~1.A_qO.ooCOMISS ONON AUOIT

PLEASE SEE ATTACHED TECHNICAL REf ~EI'.., " " 1SPECIFICATIONS OS~~ ''I p 1

~y : 5 I - T :'l ,,' ".lfAt ,.t I~UI" , "_l.,,,,t

~..~~~ ( 11I031Zti:JJ'j "Ile =r «n

",

TOTAl 730,600.00.

f~1 Am.ount In WOrds) Seven hundred thirty ~QSand five hundredpesos'onty.t-

In case of failure to make the full delivery within the time specified above, a p~nalty of one·tenth (1110) of one (1) percent foravery day of delay shall be imposed on the undelivered item/s_

Very truly yours,,

- .~~~. 1/--RAMONCJTO C. MAGNAYE,MD.FPCS,MHA

_,.". ..-.....- ....... '~"". .Medical Center Chief II

Cor)fotr'ne; \}'eW\~"'~\Ot \lJ\"w\~~? i\"\M~ LA~ 2. 20C1 2.\Q.\Signature over )l~d name of SupplierDate h\(Ne~~-e( 1, ~O~ \

Fvnd Cluster. d ORS/BURS No.: 06~Jolftw UI2I. p-- $ .•.

Funds Available: _ ::'ttO,~~ Date of the ORS/BVRS: l.ob...l)",

CCk\ Amount: 130.&00.00

CARMINA C. C~CPA '(b. -.,LtiruJ .... JOllql~ ~/11 &© . :W:__lV~

"'I '} DOH (itn·et,!me'llt Accmmting MUlfual

NI...''i' . 20"1 - ..~:".',) .1;. L. r,


TECHNICAL SPECIFICATIONSSUP:Pl V AND,.qfUVfRV OF VARiOUS M£DICAL EQUlPMEftT • SET2

; 181021·611a

BIDDER'S OFF£RPROCURiNG ENTITYI

Specificanou as technical OfferIHlH))~R'S

Specification as Tcebnical Offer sT '\TEMt.NT 01('OMI'LlA:>'Ct::

ITEM 2: lOW INTENSITY lASER

QTY: 1 UNIT

ABC: PI-IP 300,000.00

Low Intel'lsity Laser1 unit COMPLY

,,-lpURPOSE ClF USE

For treatment of patient with musculoskeletat disorder and forwound healing

For treatment of patient withmusouloskeletal disorder and for wounc COMPLYhealing

TECHNICAL DESCRiPTION

i

General requirements for the safety elect!rical riledical systemsJ

Safety Class according to Electrical Safety!Class IIApplied Parts: Type 8 Applied part iClassification of Laser ace 38 iFull color touch LEDscreen: 4-6 In X 2-3 i~

~'~----------------~------------------~----------------------r-------~PHYSiCAL DESORIP'RON

Oimen$ionsdevice (length 22-25 x 16.20 x 14 em) - Dimension: 39 x 14 x 30cmWeight Unit: 1-3 kilograms Weight: 4 Kg COMPL YPortable unit fixed on mobile cart with 4 wh~els (7 em diameter, 2 em width with caster Portable unit on mobile cart with 4 wh elsbreaks) -Mobile cart fit with deviceMobile cart size:carl (HxWxL -78)(41.SXS79")

Max, Power Output 20 VA • Max. Power Output: 20 VA• Type of Laser Diode: Pulsed (Monodiodic)

Type of Laser Diode: GaAs (pulsed) and ~aAIAs (contmuous] and Multidiodic (continuous)Safety and Performanceslla; Rule 9 Anne~ IX of EEC. This equipment Classific""tlon Safety and Performance:93/4:2./with I complies all requirements of the Medical Oevlce Directive • eEl EN 6.Q601·1: 2007(93/42/EEC) i . eEl EIoi60601-1-22:2014

lEe 60601-1:General requlrments tor safety electrical:• Safety Class: Class II

• Applied Parts: Type 6Classification of Laser: 36Graphic Colour: 320 x 240 px touch & scroll

COMPLY


- Main voltage: 100-240 Volts-Frequency: 50/60 Hz

Mains voltage: 100 - 240 VoltFrequency: 50/60 HzUPS specification: 8attery back upP()wer svstem Input/output

UPS specification: Battery back up-Power system input/output-Voltage: 220 Vac-r requenoy: Go-eo H;;:;-500 VA-continous charging time-usage time - 15·20 mins

Frequency: sO-60Hz500 VA

Continuous charging timeusage time - lS-20mlns

COMPLY

John Carl FspelerciSal.. ExeplltlveCell. 092! 6 15678Em,~II:Ge~l1.'t.\,"'1@;9m'il rort

____ o ._

--_ .._-----------

PROCURI~G ENTITV BIDOER'S OffER

I

Specification 1\$ Tech-nicalOffer Speeification as Technical Offer. iACCESS.oRIES.CGNSUMABtES S~ARE~PARTS OTHER COMPONENT Accessories, Consumables, Spare Pari s,

Other Componentbase UnitLaser Safety Evewear ( 2goggles-unlversal ~Ile)InfosheetUser Manual (on CO) In3444.290 Mains Cable 23OV-EUR

IProbe bolder (SII'M as unit materlal,pr.mrl,lntedJ h Doorswltch plug lxIndudes:1632801 LP100P Laser probe l00mW, 1 U'\1tsuper Pulsed laser Diode (90Snm)Mobile Cart iUH i

j

Completion Period:

ilmOER'SSTA Tb:MJ.:NT OFrOMf'IIAlI,n:

base unit2 Pes. Laser protective gogglesInfosheetUser Manual on CDMains CableInterlock Switch- 1 unit 100mW Laser Probe- Super Pulsed Laser Diode (905nm)- Mobile Cart- UPS

COMPLY

ENVIRONMENTAL R£9UIREMEN!"S

Stored at room temperature or alrc~n<t;itioned room,

DELIVERY

·Stored at room temperature or alrcondltionedroom COMPLY

Before delivery supplier must call the Materials Management Section for delivery' Beto,re delivery, Quali~y Medical Trading will., '. coordinate to the Matenals Management Section

coordination to avoid non-acceptance or delay In acceptance. for delivery coordination to avoid non.acceptan~or delay in acceptance.

30 to 60 days from the receipt of Purcl'iase Order.I

30 to 60 days from the receipt of Purchase Orde ,

COMPLY

TRAINING, INSTALlATION & UTlUZATIONI

Completion Period:1. The delivery, installation, testing an(ll·commissIOning It the e.quipment and its [)e!ivery, installation, testing and commissioning COM PLY

tha equipment and its acces.soJie$ induding theaccessories Including the training of e'ld·users and maintenance staff must be ainillQ of end-users and malnte.nan® staff mustcompleted ASAP upon receipt of Notice to Proceed. pe comPleted ASAP upon receipt of Notice to Proeeed.

2. Testing: Prior to acceptance, the enb.user shall conduct a physical Inspection TestingL Prior to acceptance, the end-user sl1all COMPLYand functionality test. The equipment ust be functioning and must have no ~nduct a physk;al inspeftion and functionality te t,

fhe equipment must I)e f\mctioning and must havphysical damage and defect. '10 Physical damage and detect.3, Training: the supplier shall provide a training on the proper use and Training: Quality Medl.cal TradlnQ will provide a COMPLYmaintenance of the equipment to the ene-osers and to the hospital maintenance sin/ng on the proper use and mall1tenarn;e of ttl

: ~Ulpmenl to the end·users and to the hospitalstaff maintenance staff

S~I.a5 e e UtlV9Cell" O~25~11S67SEmail: jce.pe~taqmt@ll ... all.r.om

----------.- -- ,

UlDDF,J~'SST,\ Tf '\1rxr OF

COMPllA1'ICF.:

PROCUR1NI~ ENTITY 81DDER'S OFFER

WARRANTY

COMPLY

Specification as 1jechniCIiI Offer,

Speciflcatien as Technieal Offel"

A. Warranty'R.eplacement:In caseof unIt malfunction the bidder should replace ~arran~ Replacement In caseof unitmalfuncti "COM P LV...~allty Medical Trading wlheplace tM unitwiththe unit with a brandnew unit within thre.~months from the start of the abrand new unitwithJ" threemonthsfrom the stsrtwarranty period.; ~fthe warrantyperiod,

B. Serviceand PartsWarranty: at least twd, (2) yearsfor both serviceand partswith annualpreventive maintenanceservlee

I

Servicean~PartsWarrant)::at least two (2) yea sCOM PLYor bothserviceand parts.with annualpreventivenaintenanceseNiee.

C. ServiceUnit: I -Service UnIt:a. In caseof Unit Malfunction, Bidder mu, provide a serviceunit within 48 hours In case.ofuni! malfunct!on"Q,ualityMedicalTradnCOMPl Yuntil suchtime that the unit hasbeen repaired or replaced. ~III providea service unitwithl.n48 hoursvntil su h

. . ' I Imethat the unit ha been repairedor replaced.b. BIddermust have24/7 readily availebte ~echniclanto provide technical service Q~a!ityMedl~1 Tra.dlngwll! have 24(7 readily COM PLYandsupport within 24 hoursfrom report via phone call or email in caseof ~lIallableTechtnioian'~oprovide teohnlcalservice

! p.ndsupportwithin 24 hoursfrom reportIlia phorumachinebreakdownor asneedsarise. ! ~II or email in case otl7lacnine breakdownor as

i reedS arise.r- D. Warranty Certificates:Comprehensive~arranty Warranty Certificates: ~om~rehensive COMPL Y

'ertlficates, must be Includedanddefine Ih the contract ~arranty C~rtificates, Will be Included~nd define In the contract

COMPLYE. Unit, parts, andconsumablesshould beJ'lvailablewithin 5 years. Unit, parts and consumables shouldbe available within 5 years.

l,,~11 provide draft of Comprehensivenarranty Certificate COMPLY"(NOTE: PROVIDE AND ATTACH SAMPlE/QRAFT FOR THE COMPREHENSIVE

WARRANTYCERTIFICATESr

!I

I

a. Certlflca.tlonfrom the manufacturer IauthentIcatedby the PhilippineConsulate;fromthe country of origin of theanesthesiamachinethat the warranty sh9uld not be affected with the changeofdistributor.In case saId Cert!f!catlc!!1 is !19t g\lgllqQleI~ time of Openingof Bids,Bidder mustI .-submit It during delivery !

j Certificate that the parts will availableb. Bidder'Scertificate that the parts shall t;,eavailableat the authorized Philippine~t authorized Philippine service cente~.:servicecenter/s for a period of 5 yearsaftlerthe warranty period. or ~ period of 5 years after the warrant

; penod.

OOCUMENT.ATION

- Certificate from the manufacturer thatthe warranty sliould not be affected wItthe change of distributor

COMPLY

COMPLY

c. Certificationfrom the manufacturerauthenticated by the PhilippineConsu!at~from the country of origin thatanesthesiamachinehasbeenIn the localpr International market for at least five(5) years. '

- Certificate from the manufacturer that CO MPLYlow intensity laser machine has been irhe local or International market forat least five (5) years.

For demonstration/confirmation of COMPLYspecification during the evaluation

d. Fordemonstnrtlon/confirmation of spe!clflcationduring the evaluation.)

OOCY"'1ENTATION

- Will provide manualin english language- Will provide Training Certificate

PrOVidedwith Manual in EnglishTrainingCertificate

-_ ... _. -.-- ...~- ... _._... ,,_ ...._. __ .._w_._ •... _ ..... _......_ .. _., .. ..._

-_._- -------

PROClUUf'«i ENTITY 8IDO~RJS OFFERI RfDOF.H'S

SpecifiClltion 11.. T~hnicaJ Offer Specification as Technical Offer STATE;I1~:!'oTOFI COMPI.IM'(T

SAFE;l!.~DiSTaNOARD ! ~CEApprovedfOA/ce Approved I COMPLYi -ISO Certified

I ESPELETANome and Signature oj .lIt prIzed Representotive

III

(Sgd.j ELIZABETH V. PALINES, MD, FPNA,FPPS,FCNSP

BAC Chairman

IB2021·0UB_ SUPPLY ANI) DE·LIVER:.'OF VARIOUS MEDICAL EQUIPMENT SI:'T 2


TE,CHN'l'CAL SPECIFIC.AT10'N'SSUPPLY AND DELiVERY,0F VARIOUS MED1CAt EQUtPMENT - SET2

IB2021-011B


N/A

Spectfieution us Technical Offer Specffieation ItS Technicat Offer

ITEM 3: HAND DYNAMOMETER

QTY: 3 UNITS

ABC; PHP 150,000.00

Hand Dynamometer3 units

UIUJ)J:n'sSTATEMl':I"T{)FCO>'U·I.lAN(£

COMPLY

PURPOSE OF !,SE

For assessment/evaluation of patient's hand function For assesmentlevaluation ofpatient's hand funCtion

COMPLY

TECHNICAL DESCRIPTIQN

150-200 lb. capacity hydraulic hand dynamometer,SO-751b. capacity p[nqh gaugeStainless steel 6" finger goniometer

-200 Ib capacity hydraulichan.d dynamometer

50 lb. capadty pinch gauge

- Stainless steel S" finger goniometer

COMPLY

PHVSICAl. DESCRIPTION

Hand dynamometer -stainiess dial and metal handlePinch gauge - analog. stainless, 2-3 inDimension: LXWXH - 10.15 X 2-5 X 5-7 In, Including hard protectlve caseweight Including carrying case 4·6 Ibs

- Hand dynamometer - Stainless dialand metal handle

- Pinch gauge - analog. stainless21/2 inches

- Dimension: \..XWXH: 10 x 2.5 x 5 inch.Induding hard protetcive case

• Weight indUdlng canying case: 4 Ibs

COMPLY

UTIUTY REQUIREMENTS

N/A

COMPLY

ACCESSC!)lUES.,CONSUMABLES\.SPARE PAR;TS. OTHER C0o/lPONENT

-Hard PlasticProtective Carrying Case wltn l"olVldual compartment tor each tool-with supporting foam inside

COMPLY

182021-0118_ SUPPLY AND OELIVERY OF VARIOUS MEDICAL EQUIPMENT SET 2

.;

-_ -------- -- -- "-- --------- --_ .._-_._. ---.- ...•.--~-.~

COMPLY


et.IVIRONMEN1'AL REaUiREM£NtS

Specification as Technical Offer Specification as Technical OfferBIOOEIt'S

ST,\ n:~""::'11 Of"l'DMPLH!\'CE

Stored at room temperature Stored at room temperature COMPLY

DELIVERY

30 to 60 days from the receipt of Purchase Order. COMPLY- 30 to 60 days from tI1e receipt ofPurchase Order

Before delivery. supplier must call the Materials Management Section for delivery - Betona delivery. QUJility Medical Trading willcoordination to avoid non-acceptance or delay In acceptance. coon;Ilnate to the Materials Management Sedlonfor <lelJVery to avoid non-aroeptanoe or (lelay in

acceptance

COMPLY

TRAJN.NG, INSTAlLATION & UTILIZATION

Completion Period:1.The delivery. Installation. testing and commissioning If the equipment and itsaccessories inclllding the training of end-users and mailllenance staff must be

completed ASAP upon receipt ot Notice to Proceed.2. Testing: !'rior to acceptance, the end-user shall conduct a physical inspection~nd funct!cna!!ty test. The equipment must be functioning and must have no

phvslcal damage and defect.3. Training: the supplier shall provide a training on the proper use andmaintenance of the equipment to the end-users and to the hospital maintenance

staff

COMPLY

COMPLY

WARAANTY

A. Warranty· Replacement: In ease of unit malfunction the bidder should replace W3rranlV Replacement tl'\C8se of unit malfuncti n.

th!! unit with a brand new unltwlthhi three mol1ths from the start of the ~'::~ci~~~l~tiIr~:~:~~~=I~~ihCOMPL Ywarranty p!!rlod. start ilf the Warranty period.

8. Service and Parts Warranty: at least two (2) years for both service and partswith preventive maintenance / calibration services every 6 months.

~~rvioe and Parts Warranty: at least two (2) ye rs COMPLY"" both sarvi<;e and parts with preventivemaintenance/calibration services every six (6) me nlns

C. Service Unit: Service Unita. In case of Unit Malfunction, Bidder must provide a service unit within 48 hours ~ I,~case of unit Malfunction. Quality Medical Tra !r9 COMPLYuntil slIeh time that the IInit has been repaired or replaced. WIll provide a SE!rvlCl:l'unit within .48 hours I./ntil su " .Ime that the unIt has been rep,aored or replaced.b. Bidder must have 24/7 readily available TechnIcian to provide technical service -Quality Medical Trading must have 24rT readily COMPL Yand support within 24 hours from report via phone call or email in case of Technician to provide techniC? I aElrvloe and su~~ rt. lWithln 24 hours from report Vl8 phone call or ema Imachine breakdown or as needs arise. in case of machine breakdown or as needs arise

O. Warranty Certificates: Comprehensive. WarrantyCertificates. must be included and define in the contract

~Warrsnty Certificates: Comprehensive warrant) COMPL Y.,.ertlficates. will be included and define In the60ntract

E. Unit, parts, and consumablt!s should be available within S years.-l,Inlt. parts and oonsumables should be availabl COMPLYwithin 5 years.

_ VIIIIl prOlilde sample warranty certfficate COMPLY"(NOTE: PROVIDE AND ATIACH SAMPLE/DRAFT FOR THE COMPREHENSIVEWARRANTY CERTIFICATES)"

John cartelGttlsalas g";G goCetlM- 092 678ii.rnall:ic"~pe @!I",all.com

182021-0118_ SUPPLY AND DELIVERYOF VARIOUS MEDICAl EQUIPMENT SET 2

PROCURING ENTITY BIDDER'S OFfERUIDOEIt'S

Specifteation as Technical Offer Specification as Technica! Offer STAT"~ME:-;T OF_CO_j'tPUANC~:

DO.CUMENlATI()N

Provided with Manual In English- VViIl provide manual in english COMPLYlanguage

Training Certificate - Will pr.ovidEt Training Certificate

SAFETY ANO·STANDARD - FDA ApprovedFoNcE Approved -ISO Certificate COMPLY

(Sgd.) ELIZABETH V. PALINES, MD, FPNA,FPPS,FCNSP

BAC Chairman

182021.0118_ SUPPLY AND DEI.IVERY OF VARIOUS MEDICAL EQUIPMENT SET 2-- ---- -

.,..---..,.

Republic of the PhilippinesDepartment of Hearth

T'ECHNI-CAlSPECI'FICATlONSSUPPLY AND DELIVERY OF VARIOUS MEDICAL EQUtPMENT SET 2

182021-0118

PROCURING ENTITY BIDDER'S OFFERlIft)nl:lt'S

Specification as Technical Offer Speeificarlon as Technical Offer ST,\ TF.:'Iff.:\T OFCOMPl.I,·\M'f,

ITEM 4: HAND EXERCISER/POWER WEB HAND EXERCISERIPOINER WEB2 Sets

(lTV: 2 SETS COMPLYASC: PHP 50,000.00

PURPOSE Of USE

To strengthen and improve patient hand function -To strengthen and improve patient COMPLYhand function

TECHNICAL DEs.CR1PTION- Single resistance web 14 inches

Single resistance web 14inchdiameter diameterCOMPLYEach set is composed of 5 different resistance power web hand exerciser . Each 8.et is composed of 5 different

resistance power web hand exerciser

PHYSICAl DESCRIPTIONHandy Handy

Rubber With holes (fits the size of each finger and thumb I Rubber with holes (fits the size of each fingerand thumb

Round with hard edge covered with rubber material Round with hard edge covered with rubber mate aJno latex formulations no latex formulations

weight: .5 - 1,5 lb. each- Weight: 2 IbsColor coded: COMPLYColor coded: yellow

yellow -light resistance red

red - medium resistance greenblue

green - heavy resistance blackblue - X - heavy resistanceblack - XX- heavy reslstance

UTILITY REgUIREM£NTSRubber: Rubber:. elastic - elastic. tensile strength, reSilient - tensile strength. resilient COMPLY

• Resistant to tear- Resistant to tear

ACCfSSOR1ES, CONSUMABl.ES. SpaRE PARTS, O!t:!E8 COMPONENT

NONE -NoneOOMF'I..Y

-~~~'P'"'',John ....sal~~ Ex clive 7r~...I1~ 092· 6 156.8 . .~EMail:iC~50.\Jq" .......

182021"()l1B_ SUPPLY ANO DELIVERY OF VARIOUS MEDICAL EQUIPMENT SET ;(

.",---....

PROCURING ENTITY BIDDER'S OFfER

Speciflcattnn as Technical OfferSpecification as Tedtnical Offe.r

Stored at room temperature- ~tored at room·tetnperature

- 30 to 6D days from the receipt of PurchaseOrder

Before delivery. Sl(pplier must call the Materlals·Management Section for delivery. M&!Io!e=~.QulllllY~ Tf8\1(nowiUeo<mI~I!~~ __d·· 'd ".. ~S4ociIionrOfclellVOtYto •."*I\OII·"""""""", COMPLYcoer mauon to avo. non-acceptance or delay in acceptance. Of in_lanCe

DELIVERY

30 to 60 dllYs from the receipt of Purchase Order.

BU)UrR'$STATIi".~H;NT 01't:nM.i>UM«:l:

COMPLY

COMPLY

TRAINING. INSTALLATI6N & UTILIZATION

Completion Period:1. The delivery. installation, testing and ,0mmlsslol1lnglf the equipment and Itsaceessenes including the training of end-users ill1d'mainteniilnce staff must becompleted ASAP upon receipt of Notice to Proceed.2. Testing: Prior to acceptance. the end-user shall conduct a·physical Inspectionand functionality test. The equipment must be functioning and-must have nophysical damage and defect.

3. Training: the supplier shall. provide a training on the proper use andmaintenance of the equipment to the end-users and to the hospital maintenance

staff

COMPLY

COMPLY

COMPLY

WARRANTY

A. Warranty Replacement: In case of unit malfunction the bldde.r should replacethe unit with a brand new unit within three months from the start of thewarranty period.

B. Service and Parts Warranty; at least two (2) year.s for both service and parts

with preventive maintenance / calibration services ellery 6 months.

-_ .,.,.pw W«ranty: IIINSlIwO (2) yea,.. en part.a!>d _ will! IrQ ..,mI-;mnuaI ~nIIvemllntenoncelcalibroliOn.

C. Service Unit: Sel'Vic:eUnit:a. In case ot Unit Malfunction, Bidder must provide a service unlt within 48 hours -In~" ~ l1)aJMctIon. OuaJily Modi"'" Tti!d;l\gwill """,i<l<t

, II ... Mea UlIiIWIthIn 48 hOIJI. unUi we.~tltnlIlhallhio unit haSuntil such time that the unit hasbeen repaired or replaced. - "",,",or rePOCe!I.b. Bidder must have 24/7 readily available Technician to provide technical service ;_~edi!"l:rf'll!!inO.h8v. 2~ ~ .... 11a.bla Tochnidan.. "' •• ..,. ~~ oncI .. ~·wIlNn2411our. ~omand support within 24' hcurs 'from report via phone can or email in case of ~~~Woinllillri case m•• hll"ibtealulcN.n

machine breakdown or as needs arise.

D. Warranty Certificates: comprehensl.ve WarrantyCertificates, must be included and define in the contract

E. Unit. parts, and consumables should be available within S veers. - Unit. part•• "" 00J1IWTl8Ii .. ""allabla within6y ......

"(NOTE: PROVIDE AND AnACH SAMPLE/DRAFT FOR THE COMPREHENSIVEWARRANl'Y CERTlFlCATES)"

COMPLY

COMPLY

COMPLY

COMPLY

COMPLY

COMPLY

COMPLY

email: '~"S: miU ("'I

V

182021-0118_ SUPPl V AND DELIVERY OF VARIOUS MEDICAL EQUIPMENT SET 2

PROCURtNG ENTITY BIDDER'S OFfER

Specification as Technical OfferUIf)OtR'~

Specification as Technical Offer Sl'ATE:Ion:\\T Of

OOCUMfNTA-T:lGNCONii'u!\,;;n:

Supplier must provide user-manual in EngUsh - We willprovide user manualln enJish language COMPLY

SAfETY AND STANDARDUSFDA standards • USFDA standards

COMPLY

JOHN CARLO

(Sgd.J ELIZABETH V. PALINES, MD, FPNA,FPPS,FCNSP

BAC Choirmon

182021-011B_ SUPPl V AND DELIVERV OF VAR10US MEDICAL EQUIPMENT SET 2-----.-~"

~~J~~'~~p.- • OAT~t PRe -..v r~b),'}1 t""--- ~-~

__ '._, ... ......,....._- ofl1'(f'"

Republ·ic of the PhilippinesDepartment of Health

TECH~NlCA:L SopECtFlCA TI~ON'SSUPPLY AND O.ElIve:RY OF VARIOUS MEDICAL EQUIPMENT SET 2

IB2021-011B

PROCURING ENTITY BIDDER'S OFr=ERBlOl)F.R'S

Specifie='ltion nilTechnical Offer Speeification 11.5 Technical Offer ~AT£~U;NT or'OMP1.I.\Nn:

ITEM 5: BIOFEEOBACK MACHINE BIOFEEDBACK MACHINE1 UNIT

QTY: 1 UNIT COMPLYA&C: PHP 400,000.00

PURPO§E 'OF USE

A diagnostic and treatment machine that asses the health of the muscle and• DiagnOl;!ic and treatment machine that asses COMPLYthe health of the muscle and nerve cell that

nerve cell that control them. control them.

TECHNICAL OESCRIP1'ION

EMG and Electrotherapy in 1 device • EMG and Electrotherapy in 1 device

PC software • PC softwareExtensive range of probes • Extensive range of probes COMPLYTi€atmant, tfmc : ggmi;wte5 99 seconds ,- tiaatrnant tima-: 99 mlnutss 99 seconds

Output Waveform:Rectangular pulse current, ~ Ou~ wavefot'm: 'R8QUljlU1ar pulse current,Triangular pulse current, 2·5 current, Medium frequency rectangular current, Triangular Pt!J~.current, 2· . current, Medium

frequency rectangtllan::urrent


Dimension: 85·124.145-268)< 295· mm • Dimension: 124 x 268 x 295 mm

Weight: 3-5 kg • Weight: 4 kg COMPLY

UTlLlTV REqUIREMENTS

Voltage: 1()()"24O-¥AC • Voltage: 10()"240 VAC

Max Power In Operatltln: 85 VA • Max. Power In Operation; 85 VA

Frequency i·1ooHz • Frequency: 50160 HzMaximum Output Voltage: iSV • Maximum Output Voltage: 15V COMPLYMa>dmum Current: S.6Ampere • Maximum Current 5.6 Ampere

Desktop Computer Specification:OesktO& computer s~ficatiOn:Type: Desktop or Allin one PC ~: esktoll.or All n one PC'

t Monitor: 21- 241nches nitor: 21.24 !nches

J• Graphics card type: Integrated graphlg; - GraphiCS card 1ype: Integrated graphics

.a.

;~~ens~;i:~ol~'Cell'jj O~2!l6115f>1gE.mail: jchpe!etao'l''I'Il.@!yr.,.,· ,

\._,182021"()l1B_ SIJPPLY AND DELiVERY OF VARIOUS MEDICAL EQUIPMENT SET 2

PROCURiNG £.NTI'TY BlODER'S OFFER

Specification as Technical OfferOlDOER'S

Specificatiun as Technical Offcr STATI'.MEI'IiT OF

.Ul'ILt'Pr llE(lI:JIREMENTS(·OMI'.Ll AM]£

• CPU'Speed: 1.8 GHz or higher - CPU Speed: 1.8 6Hz· or higher

• Number of-eores: Dual core or higher - Number of cares: Dual core or higher

• RAM: 4G or hIgher - RAM: 40 or higher• Memory: 120GB or higher - Memory: 1200B or higher

COMPLY

UPSspecification: UPS Specification:6S0VA -650 VA

Continuous charging time • continuous charging timeUsage time: 15·20 mlns • usage1lme: 15·20 minsPower system input/output • Power sy~tem inputlouputVoltage 220 Vac

• Voltage: 220 vac

Frequency: SO·80Hz- Frequency: 50/60 Hz

ACCESSORIES. CONSUMABLES"SPARE,PARfS. OtHER. COMPONENT A_c!:eS&Ories, Consumables, Spare Parts,Ojher Component

Standard Accessories Standard Accessories:Main Lead - Main Lead

Reference cable, 2mm Reference cable, 2mm

Test plug, F/F, 2mm - Test plug, FIF 2mm

EMG Electrode cable, 2mm, shielded EMG Ele<;1,rodecable, 2mm, shielded

EMG Incontinence cable, 2mm, shielded - EMG Incontinence cable, 2mm, shielded

Electrode, adhesive - Electrode, aonesive COMPLYElectrode, adhesive, S x Scm, per 4 - Electrode, adhesive 5 x SCm, per 4

Vaginal probe, Novatys gold - Vaginal probe, Novatys goldVag!r:a! pre~u!epressure probe - Vaginai pressure pressure pmO;;Hose for vaginal pressure probe - Hose for vaginal·pr.essure probeVisual analogue scale • VtStJaIanalogue scaleConnecting (lable 200/pc (USB) - Connecting cable 200/pc (USB)PC software -+ treatment guide - PC softWare" treatment guideSets of photos for electrodes placement • Sets of photos for eleCltOdes placement

ACCESSORIES. CONSUMA8lES ..SPARE.PART5. OTH.ER-€OMPQNENT

• Desktop Computer - Desktop Computer

40 pes. Electrode Disposable Wire - 40 Pes. Electrodes DiSpOsable Wire

- Mobile Cart (4 Wheels with caster breaks)COMPLY

Mobile Cart (4 wheels with caster breaks): Dimension: Frontage X depth Xheight(mm): 745"475·825, Frontage X depth X height (mm): 745 x 475 x 82~

UPS

ENVJRONMEr:!IAL R~gt)IREMEN'fS

Stored at room temperature or air conditioned room - Stored at room temperature or alrcondltlonedroom

COMPLY

John :;a~,"po"<o,,SalE!$ Ex. ullve

156-/8

Email: icesp~tet~rn\@9m"lt ~D"

IB2021-0118_ SUPPLY AND DEUVERYOF VARIOUS MEDICAL EQUIPMENT SET 2

PROCURiNG ENTITY

SpedfiClltion as Technical Offer

Before delivery, supplier must call the Materials Management Section for delivery -Before delivery, Quality Medical Trading willcoordination to avoid non-acceptance or delay in acceptance. coordinate to the Ma~als Management Section

for ~f!liv~ry C?OrdiOatlon to avoid non- aoc:eplBncor oelay 1(\ acceptance

OEUVERY

gO to 60 days from the receipt of Purchase Order.- 30 to 90 days from' the receipt ofPurchas.e Order.

TRAJNING!·IN&IAI~liAJION·&.utlL12A.rION

Completion Period:1. The delivery, instanation, testlng and commissioning If the equipment and Itsaccessories Including the training of end-users and maintenance staff must becompleted ASAP upon receipt of Notice to Proceed.2. Testing: Prior to acceptance, the end-user ·shall conduct a physical inspection

and functionality test. The equipment must be functioning and must have no

phvsical damage and defect.3. Training: the supplier shall provide a training on the proper use andmaintenance of the equipment to the end-users and to-the hospital maintenance

staff

Specification as 'technical OfferDIDnER'S

S'I'Al'f,ME~T OFClI,'UP1._IANU.

WARRANTY

A. Warranty Replacement: In case of unit malfunction the bidder should replace ",,=~,:..,:~":.';!=':~:t'~~~~~::::.~t'lhir>the unit with a brand new unit within three months from the start of the ltv" _1rOm""'.f8~ oflhe paIiod.

warranty period.

B. Service and Parts Wan-anty: at least two (21years for both service and partswith preventive maintenance / calibration .serviees every 6 months.

COMPLY

Completion Period:~~~~=~and~;~lI'Ioondoquipm, ,main_ .taW _I*ccmpl::!t\~p_ ""'"""ofNobI<)P_,

- Tutingl Prict-Io ~J Uie ...o.uWlliltI! CCIIIIuCI. pIIy'l~

~ ..%t:==~~='~

COMPLY

COMPLY

COMPLY

COMPLY

COMPLY

C. Service Unit: ~ Urlta. In case of Unit Malfunction, Bidder must provide a service unit within 4& hours

until such time that theunlt has been repaired or replaced.b. Bidder must have 24/7 readily available TechnIcian to provide1e£hnltal.serlilce

and support within 24 'hour$1rCII'I'rrepo)'t via phone cal1·or email In case of

machine breal<down or as needs arise.

D. Warranty Certificates; Comprehensive WarrantyCertificates, must be induded and define in the contract

E. Unit, parts, and consumables should be available within 5 years.

"(NOTE; PROVIDE.AND ATTACH SAMPLE/DRAFT FOR THE COMPREHENSIVE

WARRANTY CERTIFICATES)"

COMPLY

COMPLY

COMPLY

DOCUMENTATION

Prov'CJe.CJwltn·Mbnual In cng".:,"Traininji Certificate

COMPLY

COMPLY

182021-0118_ SUPPLY ANO·DEUVERY OF VARIOUS MEOICAL EQUIPMENT ser 2;.~ _._ ...---_.-

PROCIJAING ENTITY BIDDER'S OfFERl!fl)D£~'S

Speelficlltloh as Tednd!:aJ Offer Specification as Technlcal Offer ST ATEMlCNT OFCOMPUANCI:

SAItETv ANBSTANI1ARDCE'/ISOstandard • CEIl SO Standard COMPLY

JOHN CARL£'L ES,PElETA .Nome anciSignat~r~'\Juthorlted ftepresentotlve

(Sgd.}'ELIZAB,ETHV; PA'iINES, MD, FPNA;FPPS,FCNSP

BAC Chairman

.Tlmer: max.mln

John CC'lrl~O1i'"speletaSales E)(e tlveCell1l 092 S 15618Email: jcesp.et ~""t@g"'3iLcom

182021-0118_SUI'PL'II,ANEI DelIVER'll OF VARIOUS MEDICAL EQUIPMENT SeT 2._-,.

.PURCHASE ORDER

BAT ANGAS MEDICAL CENTER .

lupplier: SHOOTING STAR TRADING P.o. No. 21-10-0296

"ddress: #1 Douglas Fir St., Greenwoods, Pallocan East, Date: October 18, 2021

Batansas CityrIN: 188-243-279-000 Mode of Procurement: PBJune 2021

TentJemen:Please furnish this Office-the following articles subject to the terms and conditions contained herein:

'lace of Delivery: Dawgas Medical Center Delivery Term: NO P.O., NO Acceptance

)ate of Delivery: As Need Arises Payment Term: 30 da~s upon comElete deliv~


No.

MARYLAND DISSECTOR, 5MM-310MM. WITHCONNECTOR PIN FOR MONOPOLAR

cr>. COAGULATION, PLASTIC HANDLE INSULATED,PIECE wrrsour RATCHET, REUSABLE AND 20 6,272.00 125,440.00

RESTERlLIZEABLE, BRANDED, 6PCS/BOX,COVIDlEN, COVIDIEN PVT LTD., USA

INTRAOCULAR LENS BICONVEX, STERILE,

PIECESINGLE-USE, LENS ANTERIOR CHAMBER, 390 .1:. AO (1(\ 214,110.00APPALENS, APPASAMY ASSOCIATES & GROUP

I

---r'ni..rn A iTTP c Th,mTA Batang" s rv10t.J:~.~jCelll,:( 1'-''-'.J. ...... ""'-l. .. ..u..;.,~, .u. .JJ.Lr'-.

COfVi/S;:- leN 0;\1 p,UDITI

Note: RrE ""'IV~~~!

~ \.;·:,.,..r·Please attach the following if applicable upon delivery . il.. .. ,

(NO attachment NO acceptance of delivery) fJy : ~ L •---C::

'(11llJ.:Z17 ~-1. Certificate of Product Registration from FDA (l;it~ .

.--..._ 2. Certificate of Good Manufacturing practice from FDA OJ 11118 .. .3. Batch Release Certificate from mAt -~

TOTAL 339,550.00

(Total Amount in Words) Three hundred thirty nine thousand five /,undred fifty pesos only.

In case offailure to make the full delivery within the time specified above. a penalty of one-tenth (1/10) of one (1) percent forevery day of delay shall be imposed on the undelivered item/so

r/VVery truly yours,

BA~E

RAMONCITO C. MAGNA YE,MD,FPfmMedical Center Chief n CT 2021

Conforme:Sigr{ature over printed name of Supplier

Date 10/21/21

Fund Cluster/ 0' ORSIBURS No.: a2d(2fol:fft;_-~FundsAv~ble: ~ 1~·Ob Dilte uftli,e OR5/Bti'RS:

fn:D'{,;',Q n,nI1[J;LQ: <:J;l ~dNf?n~tm! '"' ~Wlt: 339,550.00

I" ~:. :.t\.;_ t..~.,. . ~~ASTl ~\\)-L\-i1...L.Jlll~t~ ~"'rJc;,ern ~rU . ~. OC, 1 -3 2021 fi ' DC i 1 8' 2U2 ' •Ut:::.. U 1 '0J)OH Government Accounting Manual~C5nu i..:.:Jv JL.J\J L.:lU U L.::ll.'::'

- -------------------

r-~-------~~'--'--'--------_/t-,


Supplier: ENGLAND TEXTILES

Address: 596 CM Recto Avenue

Manila, Metro Manila

TIN: 100-755-946-000

P.O. No. __ 2_1-_10.;;.._-~02::.;9..:.5__


Mode of Procurement: PB July 2021


Place of Delivery: Batangas ,MeqicaJ Center t \ Delivery Term: NO P.O., NO Acceptance

Date of Delivery: n. ~p<£'~t'~l~~o.~~ ~g~'1.~\V\~ Payment Term: 30 days u.pon complete delivery

Stock!Property

No,2

I

32S25

Unit Description Quantity Unit Cost

PIECE Sewing Machine Led Lights

GALLON Sewing Machine Oil, 3.8 Liters Per Gallon

PIECE Tape MeasurePIECE Pattern PaperCONE Thread,white,3000meters per cone

CONECONECONE

CONE

CONE

Amount

600.00I150.00 I

75.00 ..!250.00

2,875.00 I..---...._1,150.00

1,150.00460.00

1,150.00

1,150.00

----

In case of fai lure to make the full delivery within the time specified above, a penalty of one-tenth (1II 0) of one (1) percent forevery day of delay shall be imposed on the undelivered item/so

- n TAL 9,010.00_--1(Total Amount in Words) Nine thousand ten pesos only ----1

300,00

150.00

25.0010.00

115.00

Thread.emerald green,3000meters per cone 10 115.00

Thread,navy blue,3000meters per cone I--._J.;! nU___I- __ \1 15.00Thread, dark brown,3000meter per 6>afangas Me ;;~dl 4:ent, r 115.00Thread, baby pink, 3000meters'peG®MISSION ONlt§>,UL IT 115.00

Thread.powder blue,3000 mete s per CORE CE VEU \ 115.00

By : n~~();',tp. -~biT n;;;ii'lillie - "Ii>=i1~ ."

J;-L/ ~Alexander Tee

Very truly yours,

RAMONCITO C. MAGNA YE,MD,FPCS,MHA<') 1"1 01"1' ....1'") 1.t- t 1. d

Conforme: -------------------------------Medical Center Chiefll

Signature over printed name of SupplierDate October 21, 2021

ORS/BURS No.:Fund Cluster:

Funds Available: Date of the ORS/BURS:

Amount:

~CARMINA . cl~~o,cPA

Aocoun nt IV

--------------------:;_~

page III

. ',. ,

PURCHA EORDERI

BAT G m ~.r;N'lER;I

--

$"PpJ~ STIOOTEX MEl)I(]~L SYSTEM P.O.ND. 21-1-().,()294

A4d~~ San.Ag).lstii1. san Pemando City, D.~ Octobct: IS, 202-1~tI.:1P::p~a ~ - - ...,---------__.....

"fIN!. -- - M~ofPromJ'emenb .1!m:.Q~;1".;. •~cmtm:

Please ti.irnish tili$ om" th~folJ~ srtidtls iSOOject to ibt "lTl'J!> ,and e~ndkicm.s <e~t'I1iDed tmre111:~lace Qf'oe1i-vt:JY: ktaJDSu Medial ~W' . Oeli\lery Term: tml'·O;:rI2Ae!B!!?C6ttr~aT~nm-(6ys'UpOOr~jpt it ..D:at~()fJ)eliv~: PO Paymcll.t Term: 3.Q d!\r:! UPQU compllSte<kh~

lir

S~oeklProPertY 'Unit Description Quantity Unil Cost .ot.m(llmt

No.

BO'ITl.E ANTISEf'I1Ci DISiNfECT ANT, ;00/0 Sf) 318.20 18,910.00ISOPROPNYL ALCOHOL, 3100MLIOALLON

I "

--

....~"w·..,,-r-..".r..~~

Satan ~as M~cli\...I Ct:''It','f I ~

COMI~ SIOI'I 01 J\ II "'IT ·. L,. -.'R =c~

~t..~ . ·.... ',' . I-" . ~~;"• Rosal! ~ "~I

~, <

By .: , _~_AL. LT::.a. ~l-;--l' ;'it(.A', l) ~. "- -_.-. ....':/-111118' '- -~'1b-.." ..... . ," ... ·~........... -

._ ·"--r1ottI!P:ttJ

·TOTAL l3J)lo.00

(Total AtMltJ\t in Words) EigM entboo d nine hundred teD pesos ooij'In c¢e of'f:lifu.rc to ~ the full delivery v;1ilim ~ time! ~ifiel:hibov~~ t[~ulty·Ofoh~.tent.h tift 0) of one (1 ) perctmt for

tvery eayof4blay mBllb,.e iM~ on the wi~lh",,"tdl~,1s ."f:tY truJy youn;.. /"v'

.1:eiB.,... ~"'.(:l .

liAMONCITO c.MAGNA YE,MD.FPCS.MBAMedical ('.entet:' ~n11 sOCl D\

CQt1:t,(mne.;Signature GV~ pfitll:e(huune 'of Suppfer

Date 1"/ '21:11 ~Ir OJ Ct- \OI\Ot.lD«I- to'_,FlW.! Cig$t;er: O&SfBURS·~,'

P""""'_" .A.vWI..bl .. , . J.s; ~~. k,l) ~ .....r~ ORSJB'UR~' .m~iij?j:I~'.:::

~

AmoUllt 18;910.00

CARM1N4. c .CP~ j *"Ace ·,tI J&

"--- - --OOKGoVcmnlem Acoatindna Manual

w/u11J1

....~;!i\'..\-, ...:./' ' .

..f.. ;~\,~

I

J

.: ....

PURCHASE ORDERBATANGAS MEDICAL-CENTER

-_. -- .. . -~-

Supplier: STA. ANA ENTERPRISES P.O. No•. 21~lO"0293Address: No. 10 Bellington St., Suburbia North. Date: October 15, 2021

Maimeis, San Fernando q~,Pam2angaTIN: Mode of Procurement: .. Repeat. <h:der

Gentlemen:Please ~sh this OffIce the.following articles. subject-to the terms and conditions contained herein:

Place of Delivery: BataY8s Medical Center Delivery Term: .' ~OP.O'.iNOA~J2tanceDate of Delivery: ~~n®r~J)~~ __ . Payment Term: .l~Um.o.nS.omElt~~qe~! Stock!

Property Unit Description Quantity Unit Cost AmountNo,

. PIECE ~ADAVERBAG-ADUL~NYLONBAGFOR 90 496,00 44,640,00STORAGE AND TRANSPORT OF CADAVER WITH -FRONT ZIPPER AND BACK HANDLE, ANY COLOR.

r>. SIZE: WIDTH: 28 - 30 INCHES, LENGTH: 70 - 80 -INCHES, GENERIC ----

Cs~:t(:r.l -Bata rtgas Meciic.a -COM SSIDi'J o: AuDIT -F !ECE~\!"0;..,;_ -

R~~- 'c'''a -

Note: By ...lll urlit .~-- -[_)."l:e . . JDl'lPPlease attach the following if applicable upon delivery , l:~--" -'111118

(NO atiocJ.mini NO acceptance oj delivery) -1, €erti£cate QfProduct Registration from FDA -~ 2. Certificate of Good Maaufacturi.t:t& practice £rom. FDA -3. Batch Release Certificate from FDA -

TOTAL 44,640.00

(Total Amount inWords) Forty four tbousaftd sb: bundtted forty pesos only

In case offailure to make the full delivery within the time specified above, a penalty of one-tenth (1110) of one (1) percent for-'1 day of delay shall be imposed 'C.undelivered item/s.

Very truly yours, f/\-/

MARIA CEcjJA R. TRINIDADRAMO"NcrtO c. :MAt;~A ft,MD,Ft1CS,MBA

Medical Center Chief~ 5 OCT 1921Conforme:

Signature over printed name of SupplierDate oct 18; 2021

Fund Cluster: DI ORSIBURS No.: ctk loJ~Jfif(0-_4Funds Available: W.IA·fI) Date -of the ORS/BUR.S: =lrCARMlNA C~.CPAq; I~ltlu

Amount: . 44~640,OO

Ac ..dV .


PURCHASE ORDERBATANGAS MEDl€AL CENTER.

,upplier: ST A. ANA ENTERPRISES~ddres8: No ..10 IJeUington St.• Suburbia North


P.o. No. 21-10-0292_.-;.;;....;;.;;....;;;.;;,;;;;;.;;::......_

Date: October 14" 2021

'IN: 131-7()3406-002 Modt" (if PrOeufedteot; PB June 2021

entlemen:Please furnish this Office the, following articles. subject to the terms and conqitiGtls contained herem:

. ,,'_ - . .'

lace ofDeJivery: I!J-tan,a,s Medical Center :.' Delivery Term: . NO P.O .•NOAcceptanceate of Delivery: ,As need. arises --== Payment Term: .iQ..day:s¥pon ~gmpi~Stock!

TOTAL

Note:Please attach the following if applicable upon delivery

(NO (J~Na 1llXept41tN 4f tUJiJtery.)1. eertificate ofProdUC1 Registration from FDA

~.. ' • • ..' .' , i. • •

2. Certificate of Good Manufacturing practice from.FDA3. Batch :Release Certificate from FDA

300


ARM sUNG, MEDIUM, CLASSIC, UNI.VERSAL,PmCE 'FABttlCMATElttAL, SINGLEom-ST'ItAYImSIGN, 50 62.50

PLASTIC SLIDE BUCKLE ADJUST, GENERIC 'rf-__'B-at-a-ng-i~-'S-M-e-'U:"""iC--r:1-! ~ ~ ... - --., \

COMIS SIOl\) Oi\' . I IRE CIi':P \)1.c ~~J1e\ foel

By :~~~a1n1 __llflte ( _ .• __ tDIJvl?~q~..nr 'Tune [-L~ ,- ~"'-. ..__ - '-_-.=J

PropertyNo.

Unit

WOUND DRAINAGE SYSTEM - JP DRAIN,STERILE, MADE OF SILICONE ELASTOMER.,BARIUM lMPREGNATED, SOFT, FLEXIBLE,GRENADE SHAPED BULB. WI TUBING, WIPOINTER TROCAllS, WI EVACUATOR. CAPACITY~ lZSML-l'60ML TUBE SIZE: R:OU:NDT'tPE 118".~/16" 1/~", FLA.T TYP~: 7MM, tQ~ nQC~SIZE: 1/8",3/16", 1/4", GENERIC

1.104.00PIECE

(Total Am(juttt inWords). ,Tlifu huitiltea ~hittyJliut tliousand thrultfllUired twenty fw.epesos anly.

Amount

331,200.00

J,1'25.00

:

334,325.00

[n case of failure to make the fui1 d~ve.ry withln the. time specified a~ve. ~ penalty of one-tenth (IJl 0) of one (1) percent for-ery day of delay shall be imposed on the undelivered item/so

Very truly yours,

)ruorme: ~M~A~ru~A~c~E~FL~IA~R~.~TR-IN~I~D-AD--Signnturc;ovor prwtJ!l.nwne of S~plic:;r

t:>ste. NeT 19/2021

RAM6Ncrro c. MAGNAYE,MD,i["'~2021Medical Center Chief II

I '1 DOH Otwerrunent A.eeO.Wlfing MmtUll

}~~ru ------r

;.I r

~


, PB.June202L

Amount

.100 ,;·29,700.00

31 t __.

PURCHASE ORDERBATANGA8M'DIC~l. C!NTIR I

UI'"'lddJI8U: ~.1r"""'" UeG!tl, SaCa"P.

11M: 005-19$-86$-000

P.O. No. 21..1Q.42tO

Date: OCtober 1'. 2021Mode of Procumnen.t: &vP------_.."

Date Of Delivery: AS NEED.ARiSES

lot 1 38.142.1%

10. Oil and Grease11. SudaCtantsII. WaIte Wa. Analysis to be sampled andanalyzed quarterty (2 month of ead\ quarter)Itl. Samplmg to be conducted by the 8UppUertV. Results must be delivered, W)thIn 10 ClaysliliiCrcbiOttag'IC&l, physioonemlcai anaiysis)

~'---L-----~----~~~--------f~------~----=TO=t~Al~---1-------3~~~1~~~j~2~

WATERTREAlMENTANALV.sWeste Water Analysis as per OAO 201S..oaI Qinl"li6".nt ..m,...,t "...•.Dlt>·~ .:>------.

I,'~'~'_ ,","'Gll\7' rCIJa"Jatt:!~

" Color2, Temperature3. pH

4. atochemicat Oxygen Demand (BOD)5. Total SuspencJed Solid (iSS)6, Fec:af COIifOtm7.Ammonla8. PhOsph$te9, Nitrate

QuantitY Unit Coat

38,142.72

B~tangas Medif_;al CenterCC MISSION (DN AUDIT

RECEIVEDB V : -0oJ¥.:. _"..<.)tl;'I~ -r "f,n 120tJ"1111" I~;b..

10 ~ affe&.n to. mao. the fUll deliVerY wfthin fh8 time t= ~. IIponafly of one-terlth (1/iO) of on$ (1} perC(ff\l for

every day of dEllaY shall be Imposed on the undetivered It s.

f.., ')A(>,.11 ~ I) too? '_.fU<alV{l ;,.."7I"f. J '. "

Date of the ORSIBURS: lJlI J 1 -,., .'•,.Amount 38,142.72

ORSIElURS No.:

r '

. , . PURCHASE OltDER'. . IlATANG4SMEntcAi.dNn.

. .~.

~ Cft~!TAL.'.UI~,

.... :. ~Na""""~1!!t!!!J!! 'N: .: . ~.:', . '. '. '.

.P.O~No. 21~1N28t

"';~1~'1Ol1. ~Gf~;:.;;.SVP •. ;..;.,>,.......... ....,..;_-~-f

tnftemen:.: ·Aeasa_this,~~,~· ... . .

'to~:a:m&8f:Id:~ > ' •. ~~:.'.., ~T~~c, ,,'E·f.,P:.:"~ ,

.PaYment,Term.:·~~lF~!!ye!t~of~·.

te'ofoeiVery: . '. ···1e'~"$~~·1)fPO. ......

.1\00........ ...._~ __ ' ~-~-J' ~ ~ .' .""liViIIIA

.._

..,. ' ..

II.BY:~~

Il.... ~lt:- :W~· '" FOur~~"""~ .•".·~. .... .,.", it} ",uS",., u_"'_'_. ,'.' . -J", .- .. ' , . ~. ,...... ,...

stwr.' .. , .~:.' .

....... ----_ ..... _-- ... _ ..

BATANGASNmDICALCENTER

Supplier: FREDOWIL MEDICAL SUPPUES021 Unit A East Drive St.. Manklna Heights,

Address: Marlkina City

TiN: 405-939-728-001

P.O. No. 21·10-0288

Date: Octot;>er 14, 2021Mode of Procurement: SVP

Gentlemen: ,Please furnish this Office the following articles subject to the tenns and conditions contained h$reIn:

Place. of. 0eIi¥ery. Bat_aga. Medical Center OeU.vecy.Term: NO. P.o., NO.Ac.ceptanc:e.

Date Of OeWety: _ 10 caieiidai' daYs upon receIPt PO Payment Term: 30 dS~ UfjOii CO'mplsted~iVery

Stock!Property

NoUnit

pes.

packs 92 37.00

Amount

3,404.00

Descrtptlon Quantity Unit Cost

Plastic Salad with Cups- 3.50z salad cup white with lid white

Disposable Food Gloves- Safehand. disposable gloves 100pes

48,600 1.48

.f, Batar.ga~M~-~~.;:~~~;~·\

COMISSlON ON !\UDI rRE~~IVtD

By' ~_~r~--\) ;ite . H)ltlIl ~ ~I.\ ' 0: '1,1

11118 l)'~_ , ._

(Total Amount in Words) Stventy five thou-.nd ~, h"ndred thirty two pe~. 9nJy.

TOTAL

~'offailure to make the full delivery within the time specified above, a penalty of one-tenth (1110) of one (1) percent fore'ltJry day of delay shall be imposed on the undelivered item/so

Very truly yours,

7&,332.00

RAMONCITO C. MAGNAYE,MD,fPCS,MHA "Medical Center Chief II ~1 5 OCT 202f/u ~

fconfOFmei AMY R~~E P. SARMIENTOSignature ov~rinted name of SupplierDate October 19.2021

Fund ouster:Funds Available:

ORS/aUR$ No.:' ba...~~-~' ..iO~Date of the ORSIBURS: -nrT 1! ?n?1Amount: '" --..... ""-5,332.00

(\,\{)~i\-:U .c:CARMINA - ~,CPAA~

...----~~--~------------------------------_/\----~------~

:otfTRACJOft ISUPPUER ,SIEMENS HEAl.1HtARE tNt. Jt.l& ORDER NO. 21-1&-&2:87

~DORESS 10th F"ioorM'i:r-ower 141 H..v.lkla Eosta se, SaicedoDATeVillage, 8rgy. 8e.-Alt, Makoti City 12..Qct-21

lNNO. 009-072-927..000 MOOEOf D!RECTPROCUREMENT CONTRACTING

Dl arc t'll: nCllUCDV flATA"GAS MEDICAL(eNTER Jig;fO&OROE8r~ ..... Vf"" ....... ws;-nt KUMiNTM4G i8ABA, MtANGAs arY "I!'" n_...!"ft,v ..........

UCLIVC"T fCftM liQAtCEPTANCE OF DELIVERY

PROJECTCOMPLEnON wlthfn 30 wortdng days upon receipt of Job Order PAYMENT1'ERM 30 days upon completedeffvery

tROPERTYPROJECt' OESCRlPTlON

NO.. QUANTITY wm UNlTCOST AMQUffi

CORRECTIVE MAINTENANCE OF MAGNETIC503,463.00RESONANCE MACHlNE 1 lot 503,463.00

r=-: B~eaIB~~'ttAWiI S2EeARTSjHEADjNECK it) MR COiL i.51

SfQf&QJf WQBJ:1. Repair exchange2. Supply and Installation

I I I3. Funetionatity Test/Phantom TestOIU'IVIC:lnNnr; TI·U: ~ot tnWING

Service fteportsWarranty Certificate _.- ...._-_. ___ .....- ,I)flw6IV Reoelpt and sales irl'iOlce Batangas v1ec!icr3i Ceil; ..r

WARRANTY~ 6-12 month$ from installatfon COMISSI )N ON AUl)ITINt1I~ REC E1VE':J\-_..._¥---.,

rlY).' 4Itllc/ht.flmll!Jl tlc«pIllllctJ t1rblil'#t)') By : (iJ'~'"- 7J Ihb.,J~.->. 1. Cenl.flt;a1uf~~onfrr;mlfVA t i.uel~c~ c(GoodM-V~PNll:1lca.~.\ 11118

I I:_["2 -3. B<lJChR.t_ CtlrlU1_jromJi'D..4

~._;;.::=,..7-··"_~ .._-_.- TOTAL AMOUNT 5'03,463.00

TOTAl AMOUNT IN WORDS) Five Hundred Three Thousand Four Hundred S/xty~three PesosQnl}l

In case of failure to make the full delivery within the time $pecffled above, a penalty of one-tenth (1/10) of one (1) percent for every day

.nlt nDn!l:D....... ...-r ............ ,

)f delay shall be imposed on the undelivered item/s.Vltry truly yours, I

RAMONCITO C. MAGNAYE,MD,FPCS1MHAMedical Center Chief II

,2. 0 OCT Wt"

~undCfuster.: unds Available:

,----------_.

I-~ I\'.'1

: r

InRnDnt:D--- _.,-""' ..,Oftl'MO"Otl./SUPPtIER- S1EM~NS HEAIoTH£AREIN(. JO& ORDER-Nn 21-1&4)287

DORW 10th Fioor Mi fower 14l H,V. Oels aosta st., SalcedoOATEVilla,e, Brgy. Sel-Air.} Makati cttv 12-oct-21

!MNO. 009-072-927..000 MOD! OF O!P.£CT .

PROCJ,fR£M£NT CONTRACTING8AT~ t¥lEPI~L (e~

.~j~ORDtRP1..A.C£.of OEUV£RY OEltV£RYlE1\MKUM'ifdANG iBABA, iiATANGAS on ~ ACCEPTANCE OF DELIVERV

.. 30 days upon complete'ROJECf €,OMPlEtlOM withEn 3O.w~n.a.days upon rec,fptof Job Order . PAYMENT TERM4eliverv

ROPER-TV PROIECT DESCRIPTlO~IIQ.. gUANIflY wm UNlT£QST AMQU!![

rnDDl:rTt\II: UAIN1'r:N.ANr~nc UAt:Nl:TlrI--'--"~~'-"-"- 1 lot 5.03,463.00 soii.46a.oo Ir=>: Bif6jBIi~'tl6t:ii' S2feWii

HEADjNECK i6 MR COiL i.5T

SCQP&Qf WQBIi-1. Repair exchange2. Supply and Installation3. Funetlonaltty Te$t{Pnantom Test -~-----

DIUW'l;,nN nr; TI·U: t:nll nWING 8atangas M d:~al Center \Service f{eports I COM1SSIOt ION AUDIT •warranty CertificateOIlkt ·tV R~~ftlt .I'\d S"I~ inVOice RECE I'JEDWARRANTY: 6-12 months from installation :r ~:--.JNtJHi I I BV - 7 '/bb.rl ,:l r>:1III "i'L!'!l--~-v-~-"_ 'I;..::r.~111118( l!I). lIltacli.fHI!1fJ ;m' aCNPIIW:II Df'didllWJ'yJ"

~ 1. C~rJfII(XlfeoJP~ lWglstto#.(1(Ifrr,Im F1M

12. CIUtt}1r:nhI. C("GootI~~t-..F'A43. 1Iatdt R.I_ Cerl(/ttltu.fl'am FDA.

~.~_-;:r..,;:"..~""" ,.. _--. ,. TOTAL AMOUNT 503,463.00

lTAl4MOUNY'N WORDS) FfW Hund(ed Three Thous.and FOUf Hundred S/xty7three Pesos Only

Ci$e of failure to make the ~It delivety within the time speciffechbove.l .. penallY of O!U!'J·tenth (1/10) of one (1) p4!I'CeAtfor every day

nQ cJiiSf.i:nos Available:

VI~rytruly yours, YYRAMONOTO C. MAGNAYE,MO,FPCS,MHA


12. 0 OCT W,', lI

~e'ay shall be Imposed on the undelivered item/so

, , ,~ " ';1,'" "-: . -,

PURCHASE ORDER .~,. -IlATANGAS MEDICAL CENTER

fl,\!ppliel': DYNAMED HEALTHCARE INCORPORATED P.o.. No. 21-10-0286

Address: 1rd Floor Merofocus B1d~., 42 Tomas Morato Avenue Date: October 12. 2021Quezon City

'1:l'!'iI: 009-9<210-3 (5~OOOQ M{)de or Procurement: NP-TF'8

Gentlemen:Please furnish this Office the following articles subject to. the terms and conditions contained herein:

Place of'Delivery: B.atang.a~Medk!ll Center Delivery Term: NO P,O .• NO Acceetance

Date of Delivery: 60 calendar days upon receipt of P,0_ Payment Term: 30 days upon comElcte delivery,Stoakl

Property Unit Description Quantity Unit Cost AmountNo,

UnilANESTHESIA MACHINE WITH CARDIAC

I 1,499,500.00 1.499,500,00MONITOR ANI.) CAPNo.GRAPR

-

-r>. .--------

Bat anqes Moel cal Center .PLEASE SEE ATf'ACHED FOR SPECIFICATION COI\ 1\:~~310N )i\j AUDIT·

Ri~E~~Dtt~' I -Note: ROS~,~

d~\l -Please attach the Ii llowing if applicable upon delivery By , ~6.I/~," >om Mp;nhpr

-~- IV, flqloWJI(NO attachment NO acceptance Of delivery) I Il ' ~

:J:~ -L Certificate of Product Registration from FDA 'j 1111";; .- -2. Certificate of G od Manufacturing praotioe from FDA -3. Balch Release Cerafieere from FDA -

TOTAL 1,499,500.00(TG)'ta! A,m9~l!It In Words) One miiliol') fOltr ~'Ilndred lJin:ety-ltine thousand five hundred pesos only

ln case of'failure to make the full deli ery within 'the time specified above, a penally of one-tenth (1/10) ofone (I) percent forevery day of delay shall be imposed on r e undelivered item/s.

I ''Ir=>; Very truly yours, / ...-F

RAMONCITO C. MAGNA YE,MD,FPCS,'f\711t'\ IR<t:J.~ 4 ~t.

Medical Center Chief I{ 3 ocr . tConforme: !

Signature over printed lla111{;i upplierDate DoJDW rrttLoJi

Fund Cluster: 01 ORSIBURS No.: (5(r}/,I{O 1- 'Wl]{(j G::A.,(' i

Funds Available: \"f¥1,\tOO .co Date of tne ORSIBURS: OCT 1 !! ?U2j I

",,'- -j "I Amount: 1,499,500.00 I(;,{-:- - I

ICA:RM{NA (CA~TlI2LO,CPA t){Co - !Ace, II fint IV Icfl :<J <W~. "-...A....,._.-L.-v

page 1/'1

01'DOH Government Accounting Manual

\

ANESTHESIA MACHINE WITHIB2021 011A Supply and Delivery of Various CARDIAC MONITOR ANDMedical Equipments SET 1 CAPNOGRAPHABC :1,500,000.00 DYNAMED HEAL THCARE INC.

UNIT COST1,499,500.00

Duly Accomplished and Signed Bid FormTOTAL COST

1 Unit 1,499,500.00ELIGIBILITY DOCUMENTS PEN LON PRIMA 320

Platinum Membership

PhilGEPS Registration Certificate Reference No.:2018041051691118999869

Valid Until: 4/30/2022

07A-039-1 0-09R 1751-2020Tax Clearance Certificate Issued Date: 10/9/2020

Valid Until: 1019/2021

DTIISEC Certificate Certificate No. CS201802729

Registration Date: 3/9/2018. -, ,

Place of Issue: Quezon Cit~Mayor's Permit 2021 Expiration Date: December 31,2021..

19003591

'List of All On-Going and CompletedGovernment/Private Contracts, IncludingContracts Awarded But Not Yet Started Provided with Attachment~

Single Largest Owner's Name City of Pasig (Hospital)Completed Contract(SLCC) Date of Contract: 4/6/2020-4/30/2020

Name of Contract: Mechanical Ventilator

Amount of Contract: Php 58,800,000.00

Date of Delivery: 4/6/2020-4/30/2020End User's Purchase Order, Sales Invoice,Acceptancel OR Collection Receipt

NFCC P2,044,785,942.68

Joint Venture Agreement if applicable None

Bid Security Bid Securing Declaration

Omnibus Sworn Statement Comply

Deliverl' PO-60 days) ~c.oro.ply,_ ~, . Pft..(V'U~t·, 1Z;N1t'~t" ION

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By:C"lt'f"'~JI.: Gc,,1'

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ANESTHESIA MACHINE WITH CARDIAC MONITOR AND CAPNOGRAPH

rrECHNICAl DESCRIPTION

1. MAIN GAS SUPPLY:Oxygen, air12. PIN INDEX SUPPLYSYSTEM: Oxygen, air

[3. VENTILATION MODES: .

. 3.1 with atleast 5 ventilation modes: VOJ, POJ, PRVC or SIMV, SPONT/PSV and!I ManualI~f'4. BREATHING SYSTEM: 4.1. The volume ofthe compact breathing system and C02absorber must be 1.5-6L excluding hoses and breathing bag.

4.1 Thevolume of the compact breathing system and CO2 absorber must be 1.5-2.0excluding hoses and breathing bag.

4.2 Volume of C02 absorber reusable canister must be 1.0-2.0L4.3 With breathing system that can be detached from the main unit w/o tools

required.4.4 Breathing system should be separated from the main unit with mountingI 4.5. Pneumatically driven

S=STHESIA GAS SUPPLYMODULE:5.1. Range of fresh gas flow indicators: 0.0 to 12.0 L/min.5.2. 02 flush5.3. With metering valve and dual flow tube for fresh gas.

I. Gas Supply: Oxygen,N20 Air2. .PlN INDEX SUPPLY SYSTEM: Oxygen, Air3. Ventilation Modes:

3.1. Up to 6 ventilation modes: VCV,PCV,PRVCor SIMV, SPONT/PSV and Manual

ComplyComplyComply

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6. VAPORIZER6.1. With 2 Selectatec mounting vaporizer (standard of One (1) unit Sevoflurane

vaporizer-keyflll\(1) unit isoflurane vaporizer-keyfill

, 7. HEATING MODULE:7.1. With ventilator heating module that prevents excessive humidity in the system,

: 8. FLOW SENSOR:i.~

; lith constant temperature hot-Wire flow sensor.-.

4. Breathing System:4.1. Absorber Capacity: 1.6L4.2. Volume of C02 absorber reusable canister

isl.5L4.3 Bellows Housing

The bellows housing (11) provides an airtightjcompartment for (11) the breathing system bellows.

Comply

4.4. Breathing Bag Support Armtrhe bag arm (1) can be rotated to position the bag for easejofuse when manual ventilation Is applied

4.5. pneumatically driven~. Anesthesia Gas Supply Module:

5.1. 0.0 to 12.DUmin.S.2.02 flush5.3. With metering valve and dual now tube farfresh gas

6. VAPORlZER~.I. 2 station selectatec bar Comply

7.Henting Modulet7.I. The unit has a built-in heating system and the main Comply

omponents are autoclavable.8. rlow SCIlSor:~.l. With constant temperature hot-wire flow sensor.

9. AUXILLARY LOW FLOW OXYGEN: 9.AuxiLlillf)' Low Flow Oxygen9.1. Auxilliary 02 outlet

9.1. With Integrated low flow Oxygen supply for mask and nasal cannula application.

Comply

10. WRITING TABLE/DRAWERS/MOUNTING:10.1. With at least 2-3 drawers as storage tor other accessories.10.2. Preferably with a fixed or retractable writing table that can hold at least 10kgs

10. Writing Table/Drawers! Mounting:I n.l. with 2 drawersI n.2. with writing table

Comply

11... DVANCED AND SAFETY FEATURES:

.1.1.Functlonal even the battery Is completely discharged, all pneumatic functionshntinue to be available (APL valve, breathing pressure gauge, cylinder and pipeline.auges, fresh gas and agent delivery, and 02, AIR, flowmeters).

1.2.Manual or spontaneous ventilation can be maintained during powerfailure andischarged of battery.

1.3. In case of no power and totally discharged battery, machine can be shiftedto'entllator mode to Manual mode

2. POWER INPUT DATA:

2.1. Power Supply: Rating non-configurable 100 to 240 VAC, SO/ro Hz, 145 VA

2.2. Battery Operation time: minimum 90 mins

3. PARAMETERS:

l3.1. Minimum Tidal Volume (Vt) required: 10 to 1600mi

L3.2. Breathing Frequency (rate): 1 to 60 bpm (1/min)

l3.3. Inspiratory pressure: PEEP, off,3 to 30 cmH20

.3.4. Inspiratory Flow (InspFlow):

to 0 to 6OL/min In Volume and Pressure

.3.5. Inspiration pause: 0 to 50 %

. :v---'\osltive End Expiratory Pressure: PEEP 0 to 20cmH20

._. .spirattcn/exptratlcn ratio: (Ti:Te) 9:1 to 1:99

.3.8. Pressure limiting: 70 cmH20

snge of fresh gas flow indicators: O.Oto 10.0min

11. ADV ANCE AND SAF'ETY FEATURES:

1 I. I. Accurate mechanical anti-hypoxic device andjautomatlc drive gas switching function.11.2. Accurate mechanical anti-hypoxic device andjautomatic drive gas switching function.

11.3. VOl, POI, SIMV-V and Manual

~2. POWER INPUT DATA:

12.1. 100 to 240 V, 50/60 Hz, <150 VA

112.2. 90 minutes

13. PARAMETERS:13 I Lower limit: Off, 10 to 1600 ml

13.2. Lower limit: 0 to 100 bpm

113.3. Inspiratory pressure: PEEP,off,3 to 30 cmH20

13.4. 0 to 0 to GOl/min in Volume and Pressure

13.5.0 to 60%

13.6. PEEP0 to 20cmH2013.7.9:1 to 1:99

13.8. 70 cmH2013.9.02: 0 to 10 Llmin

Comply

Comply

Comply

I. ANESTHETIC SCAVENGING SYSTEM:1.1. Transfer Hose, 1Meter1.2. Anesthetic Scavenging HolderU. Anesthetic Scavenging Hose, 3Meters

;. STANDARD ACCESSORIES:;.1. One (1) unit 02 Regulatori.2. One (1) unit Air Regulator>.3. 02 and Air fittings and hose clamps;.4. One (1) unit Adult anesthesia circuitwith 3L bag;.5. One (1) unit pediatric anesthesiacircuit with 3L bag

.7. Two (2) units power adapter

14. ANESTIiETlC SeA VENGlNG SYSTEM:14.1. Transfer Hose, I Meter14.2. Anesthetic Scavenging Holder14.3. Anesthetic eavenging Hose. 3Metcrs15. STANDARD ACCESSORIES

One (I) unit 02 RegulatorOne (I) unit Air Regulator02 and Air fi uings and hose clampsOne (1) unit Adult aucsthesm circuitv ith 3L

15.1.15.2.15.315.4.bag15.5.PL bag15.7. Two (2) units power adapter

One (I) unit pediatric anesthesiacircuit with

Comply

Comply

Pn.~.~" "~f.' 'Y.' .".-e,lM""""lON"' .......... r •• 1,,..:t: I Jo' \. j l .

._.__ .._-_

CARDIAC MONITORTECHNICAL SPECIFICATIONS:

...

DISPLAY/WAVEFORMS: DI8PLA Y fW A VEFORMS:

1.1. Screen Size display: 12-14" color TFT screen1.1. D1splay: 12.1lnch color TFT (touchscreen)

Comply1.2. Screen Navigation:1.2. Screen Navigation: 1.2.1. Touch screen1.2.1. Touch screen 1.2.2. Hard keys located at the rightpanel of the monitor,1.2.2. Hard keys located at the rightpanel of the monitor, minimum of 6 minimum of 6

1.2.3. Ten (10) or more Fast Access keys andsimplified Menus 1.2.3 (14) fast access keys and simplified menus)

1.2.4. Navigation knob use for modification and confirmation of settings1.2.4. Navigation knob

~ARDIAC MONITOR~ECHNICAL SPECIFICATIONS: No. of Waveforms: Maximum of 7 ComplyNo. of Waveforms: Maximum of 7waveforms (using standard screen

display) !Alarm light

With Two (2) separate alarm lightslocated at the top of machine dedicated

forTechnical and Clinical alarm.

2. STANDARD FEATURES: 2. STANDARD FEATURES:

. Weight: 5 kg or less only 2.1. Weight: 2.72 kg without battery

3. POWER AND BATTERY:3. POWER AND BATIERY:

Internal battery duration must be: <! 350minutes 5000 mAh using 1 battery3.1. Comply Comply

only.3.2.100 V - 240 V-, 50 Hz/fA) Hz -

~ 2. 100 V - 240 V~, 50 Hz/GO Hz

~. ECG:4. ECG: 4.1. ECGLeads: 3 leads: I, II, III, Comply

,

4.1. ECG Leads: 3 leads: I, II, III, 4.2.) Gain selection: US, 2.5, 5.0, 10, 20, 40mm/mV, Auto

4.2. Display Sensitivity: xO.125, xO.25, xO.5" AUTO gain 4.4. ST measurement range: 2.0mV-+2.0mV (-20.0

4.4. ST segment analysis and monitoringmm-+20.0 mm)4.6. Arrhythmia analysis with up to 26 different arrhythmia

4.6. Arrhythmia analysis with up to lGdifferent arrhythmia A.7. HR measurement range:Adult: lS~300bpm

4.7. Heart Rate range must be: ADU: 15 to 300bpm, PED/NEO: 15 to 350 born Neonate/child: lS-3SObpm

4.8. Two (2) Heart Rate averaging method..~

6. NIBP:Comply

,'lIBP:6.1. NiBP measurement method: Manual, Auto, Continual.

5.1. NiBP measurement method: Manual, Auto, Continual.5.2. Measuring interval in auto mode: 1, 2, 3,4, S, 10, 15,30, 50, 90. 120, 240,

5.2. Measuring interval in auto mode: 1, 2, 3, 4, 5, 10, 15, 30, 60, 90, 120, 240, ~nd 720 min.and 720 min 5.3.cuff pressure measuring range: 0 to 300 mmHg

5.3. Cuff pressure measuring range: 0 to 300 mmHg S.4.Maxlmum measuring period:

5.4. Maximum measuring period:

5.4.1. Adult/Pediatric: 120 seconds Auto measure interyals: 1/2/2.5/3/4/5/10/1S/30/fA)/~.4.2. Neonate: 90 seconds 9O/120/18fJ/240/48fJ/720min5.5. Overpressure protection:

5.5.1. Adult: 270 5.5.Cuff pressure range:

5.5.2. Pediatric: 200 5.S.1.Adult80-2BO

5.5,3. Neonatal: 145 ±3 mmHg 5.5.2.Chlld:80-210

S.S.3.NeQnate:60-140

'--- ..-


Specification as Technical Offer ISpecification as Technical Offer~roDER'SIsTATEMENT OFCOMPLLANCE

6. TEMPERATURE:6.1. One (1) channels Temperature measurements ~.I __Number of channels: 2 Comply

6.2. One (1) skin type probe ~.2 comply

7. SP02: 7. SP02: Comply7.1. With Sp02 measurement p.i. With Sp02 measurement7.2. Accuracy: 7.2. Accuracy:7.2.1. Adult including Pediatric: t2% (70 tolOO",(, Sp02) 7.2.1. Adult including Pediatric: ±2% (70 to100"'('7.2.2. Neonatal: t3% (70 to 100% Sp02) ~p02)

17.2.2. Neonatal: ±3% (70 to 1000...6 Sp02) -8. CAPNOGRAPH (mainstream): 8. CAPNOGRAPH (mainstream): Comply

8.1. EtC02: 0 mmHg to 150 mmHg 8.1. EtC02: 0 mmHg to 150 mmHg - ....8.2. Intended Patient: Adult, pedlatric,neonatal 8.2. Intended Patient: Adult, pediatric,neonatal

8.3. Measure Parameters: EtC02 8.3. Measure Parameters: EtC02- -

~:G ~. ECG

~.1. Channels: 5 channels 19.1. lead type: 3-lead, S-Iead or 12-lead selectableComply

9.2. Accuracy: t2% or t1 mmHG, hichever is greater ~.2. Accuracy: ±1% or t1bpm, whichever is greater.9.3_ Sensitivity: 5 (\-lV(V/mmHg) 9.3.5 (\-lV/V/mmHg)9.4. Impedance range: 3000 to 3,0000 9.4. Bandwidth:9.5. Filter: DC" 12.5 Hz; DC~ 40 Hz measurements Surgerv mode:1 Hz ~ 20 Hz (-3,OdB ~ +0.4dB);

Monitoring Mode:0.5 Hz - 40 Hz (-3.Od B-+O.4d B);Diagnosis mode: 0.05Hz -150 Hz (-3.0dB - +O.4dB);:;,T mode: .05Hz - 40Hz(-3.0dB ~ +O.4dB)

--10. TRENDS: 10. TRENDS:Trend data for all parameters in tabularand graphic formats must be: 120hours 10.1. Trend data for all parameters in tabularand

10.2. Displays atleast 3 measurements graphic formats must be: 160hours

10.3. Displays patient information 10.2. Displays atleast 3 measurements10.3. Displays patient information

--PHYSICAL DESCRIPTION

"sthesia machine with atleast 8.4-10" color touch screen, LED illuminated ~.4 color touchscreen Comply

. J,kspace, Large Capacity Drawer units with castors.

~Ize (HxWxD)1410x 1000x65Omaximum: 1450)(SOo.lOOOX450-

650mm II0kgIWeight: <150 kgCardiac Monitor with minimum 12" LED Touch Screen, Alarm light and 12" touch screen

navigation knobPhysical Characteristic: I. 300mm x I 551ll1llx 278mm1. Product size: maximum of 35o.SS0mmx300-S00mmx200-400mm ~ 6kg2. Net weight: 4.0 to 6.0kg

..--

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PROCURING ENTITYr---------------------------------~II--------------------~--------------

pecification as Technical Offer


~tandard Requirements:~HE BIDDER SHOULD SUBMIT!ATIACH ABROCHURE/CATALOGUE AND DOCUMENT REQUIRED TOPROVE THAT THE BIDDER COMPLY WITH THEREQUIREMENTS.1. Power Requirement for Electrical/Electronic unit:A. Voltage: 220 - 240 voltsB. Frequency: 60 Hz

"(NOTE: PROVIDE AND ATIACH IMAGES TO PROVE THAT)

~CCESSORIES CONSUMABLES SPARE PARTS. OTHER(OMPONENT

~TANDARD ACCESSORIES:• One (1) unit ECGtrunk cable• One (1) unit 3-LEAD ECG cable• One (1) unit Sp02 probe for Adult• One (1) unit Sp02 probe for Pediatric• Three (3) sizes of NIBP Cuff• One (1) unit Temperature probe, skintype Pedia

~sllmables:L.lloodpressure cuff (Adult, pediatric and neonate)

• Carbon dioxide absorber• Water trap for side stream capnograph• Side-stream capnograph tubing• Volatile anesthetics (sevoflurane, isoflurane

• Oxygen• Breathing circuit• Oxygen sensor

~TANDARD ACCESSORIES: Comply

• One (l) unit ECG trunk cable• One (I) uniI3-LEAD ECG cable• One (1) unit Sp02 probe for Adult• One (I) unit Sp02 probe fOT Pediatric• Three (3) sizes ofNlBP CuIT• One (I) unit Temperature probe,skintype Pedia

BIDDER'S OFFER

~pecificatjon as Technical Offer

~. 100-240 VAC,B. 50/60 Hz, 150 VA maximum

Iconsumables:• Blood pressurecuff (Adult pediatric andneonste)• Carbon dioxide absorber• Water trap for side stream capnograph• Side-stream capnograph tubing• Volatile anesthetics(sevofluranc,·so flurane• Oxygen• Breathing circuit• Oxygen sensor

iBmOER'S~TATKME TOfCOMPLIANCE

Comply

DELIVERY

lBefore delivery, supplier must call the MaterialsBefore delivery, supplier must call the Materials ManagementSeGtiQn~~'m~ement Section for delivery coordination to

. ..' d I' P!'l ~'. ~yQfq-119n-aC Dicta "Illrlcceptance.for delivery coordination to avoid non-acceptance or e ay In ". '. ~, ... <10 r, J ')l;r.TlONCe .... ''_~(. ~r-=o.' .' . ,t,.~. 'f

D.... \'n . "->' "'''J'''~_______________________________~I~~~--L-~f~I~~,~I--------i---------~--------~

{

30 to 60 days from the receipt of Purchase Order

acceptance,


- j

Comply


Specification as Technical Offer Specification as Technical Offer STATEME TorCOMPLIANCE

rrRAINING INSTALLATION & UTILIZATIONAcceptance and Maintenance:

!Acceptance and Maintenance:A. During acceptance: The supplier should I

conduct actual testing (Qualitative and Comply

IA. During acceptance: The supplier should conduct actual testing Quantitative Test) using calibrated analyzers or(Qualitative and Quantitative Test) using calibrated analyzers or testing esting devices, if not possible via third party.

Idevices, if not possible via third party. Witness by the end users and Witness by the end users and the technical I

the technical inspectors.nspectors. I

a. Valid certificates of thea. Valid certificates of the Technicians/Engineers to conduct Technicians/Engineers to conduct

se rvice/ ma inte na nce service/maintenance I

b. Valid certificates of calibration of the analyzer and testing b. Valid certificates of calibration of theequipment. analyzer and testing equipment.

c. Provide Service Report per unit~.

Provide Service Report per unit

d. Calibration Certificates or equivalent Calibration Certificates or equivalent

e. Acceptance F· Acceptance If. Preventive Maintenance Calendarf. Preventive Maintenance Calendar "(NOTE: PROVIDE AND ATTACH i

"(NOTE: PROVIDEAND ATTACHDOCUMENT TO PROVE THATTHE ABOVE DOCUMENT TO PROVE TH.AT THE ABOVE I~ ENTIONEDARECOMPLIED SUCH as the ff.)" MENTlONED ARE COMPLIED SUCH as the

.Jst of the Engineers/Technicians with their certificates to conduct IT.)"

service and maintenance <I. List of the Engineers/Technicians with IList of the Analyzers/Testing tools with their Brand/Model/Serial No.

their certificates to conduct service andmaintenance

and its valid certificate of lb. List of the Analyzers/Testing tools withcalibration)" heir BrandIModellSerial No. and its validSample/Template of Service report and Calibration certificate or Ferri ticatc ofequivalent ~alibration)"d. Sample/Template of Preventive Maintenance Sticker Sample/Template of Service report and

e. Sample/Template of Preventive Maintenance CalendarCalibration certificate or equivalentd. Sample/Template of PreventiveMaintenance Stickere. Sample/Template of PreventiveMaintenance Calendar

WARRANTY

A. Warranty Replacement: In case of unit IA.Warranty Replacement: In case of unit Comply Imalfunction the bidder should replace the unit with a brand malfunctiou the bidder should replace the unit with

.-- ew unit within three months from the start of the warranty a brand new unit within three months from the !

period.~tnrt of the warranty period.

B. Service and Parts Warranty: at least 2 years warra ntyfB.Service and Parts Warranty: at least 2 years Comply~arranty

for both service and parts with annual preventive maintenance service for both service and parts with annual preventivemaintenance service

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! .With 1 ye~r Wil(tarlty on radiation k,tali; that . Ilwill $tarl upal') e.ompletfCn and lKe€!ptaflcei

• Ouration' 1.0 caf~ndat dilYS UpOn receipt 0{

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• 220-633476-000I .

(MD GENEftAL TRADING

3Odavsupon',()~1i! !11111v1lfY

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____l_TOTAL AMOUNT

In case offallure to make thtt full dalivlN¥ within thl! time, $pedfied above. a. penalty of one-tenth tl/10) Qf one (1) per<:ent for evcrrvdavqf t.i!Hty ~'"fI~ Ifflw)Set1 ori ffle u"ru!efivered ltem/f..

Very trUly yours,

RAMONOTO C. MAGNAYE;MD.f:'PCS.MHAMedical Oil'll., Chief it

• R...."eived order an!S hcIlt,1ll'!"~1f ~~!mI {i\) tIW wnditlOn~ $tlpulateoln thegenerahml !!*lal condltiO!ls of tile RFQ!Omvau PfopQ$IlL

BatMC-PS.F ..Q29nt'i$ i$ IICtimpmet fieflBta;8d fom), :

Effective Oat.' July 05, 2021Rev 02

r> r:>- PURCHASE ORDERBATANGAS MEDICAL CENTER


Address: Amhsco Bldg., McArthur Highway, Dolores, Date: October 06, 2021







No.

NEEDLE (ASPIRATION) G19, STERILE, SINGLEPACKED, WITH COVER, COMPATIDLE WITH

PIECE LUER LOCK OF SYRINGES AND INFUSION SET 500 4.00 2,000.00~ TUBINGS. DURABLE, BACKPOINT BEVEL THAT

CLEARLY SHEARS THE SKIN

BONE WAX 2.5 - 5G, 1-1I2"X6", STERILE, MADE OFPIECE ONE OR MORE LAYERS OF A SOFT SURGICALLY 100 207.92 20,792.00

SAFE ABSORBENT, NON-ABSORBABLE

PIECELIGA CLIPS, STERILE, MEDIUMILARGE

50 400.00 20,000.00TIT ANnJM CLIPS/ CARTRIDGE

OXIDIZED REGENERATED CELLULOSE, 3X4,PIECE STERILE, ABSORBABLE, ABSORBABLE WITHIN 7- 200 1,598.00 319,600.00

14 DAYS

POLYPROPELENEMESH 12X12 (30CMX 30CMl.

er '\STERILE, DUAL COM]"V~_r~~()t<'AR&fu~nNON-ABSOBABLE,PFRM. 'f~~;,.-,~ IUPIECE THICKNESS: 0.020, KlI TWMtlN~M :A:M1tM,A OIT 5 8,700.00 43,500.00

r---.,EXCELLENT STRENG ~WIT~rqED DPOROSITY r--t-..

By VA....,_:7 SUBTOTAL 405,892.00,nl WI ~m]1

(Total Amount in Words)[l::i,e .

-=

,If ., " In', (j_~11l11C~

In case of failure to make the full delivery wi rrrrrtne orne specified above, a penalty of one-tenth (1/10) of one (1) percent forevery day of delay shall be imposed on the und livered item/so

n Very truly yours, /V I~TCK F. AJ

~

RAMONCITO C. MAGNA YE,MD,FPCS,MHAto rial Sales Repr

Medical Center Chief~ 1 3 OCT ~,,c nt Care CorporatloConfonne: 09190692799/099Sy !8lfl'6'

Signature over Printed)J1rJ~ [iUPPlierDate to I'

Fund Cluster: LOI ' ORSIBURS No.:Funds Available: Date of the ORSIBURS:a: Amount:l~ ~ll ~ ;~.CPA O({J

OCT 1 8 '021 Acco tIV rDf~!~r page 1/5

B Y: __~ _______ft\~ DOH Government Accounting Manual


'Suppliere PATIENT CARE CORPORATION,Address: Amhsco Bldg., McArthur Highway, Dolores,


TIN: 000-265-811-000

P.o. No. 21-10-0283


Mode of Procurement: PB June 2021


Date of Delivery:


As need arises Payment Term: 30 days upon complete delivery

Stock!Property

No.Quantity Unit CostUnit

250.00

AmountDescription

200

Balanced Forwarded

ABDOMINAL INCISE DRAPE MEDIUMPIECE 34CMX35CM, TRANSPARENT, SOFT, CLEAR,

PLASTIC IODOPHOR, IMPERMEABLE, ADHESIVE

ABDOMlNAL INCISE DRAPE LARGE 56CMX45CM,PIECE TRANSPARENT, SOFT, CLEAR, PLASTIC

IODOPHOR, IMPERMEABLE, ADHESIVE

BACTEC (pLASTIC) AEROBIC BLOOD CULTUREBOTTLE BOTTLE FOR (ADULT) WITH RESIN / 2,000

AUTOMATED MACHINE rxo s . . 1'\..1. I

LABORATORY (MICROB PLO~Si!ij~(liCal C enter !FXTOP / BECTON DICKTh ~dNCi)Ml~6~ivj 56) :',1 ,L\U D IT I

D i'Er- e:n et:n

100

BLOOD CULTURE MEDIA BOTTLE (ADULT) TUBE1;'f"ID C AlI.rDT ThTI"! 11ilTl"Df"I'OT AT I"TTT 'T'TTD1;'CJ_'V.I.'\.. i.,)I'\.l.V.1..1.Lll"'lU lV.Ll'-'J.'\..V..LJ.l..L"'U....J '-'ULJ. U.I,'-l...j'"

613.50

826.74

405,892.00

61,350.00

165,348.00

500,000.00


SUBTOTAL 1,132,590.00

In case offailure to make the full del~very withi ~._ .:........__ ..- ."" ~ ..__ , .. r .1~J f one-tenth (1/10) of one (1) percent forevery day of delay shall be imposed o/It] T undelivered item/so

L I Very truly yours, r-.>Terri~riCalKSl~t·~ftiLA. RAMONCITO C. MAGNA YE,MD,FPCS,MHAa e esentatlve ..Patient Care Cor 0 ti,n/Amhsco Medical Center Cl:llef 9 3 OCT 2Q2.11

1]90692799 0 ~281716,:::onforme:Signature over printed A~e of Supplier

Date ID I f(11J:;'und Cluster:<unds Available: Date of the ORSIBURS:

Amount:

I '01

DOH Government Accounting Manualpage 2/5

ORS/BURS No.:

(j2_)CARMIN '.'CASJ]LLO,CPA

Acco~IV


Supplier: PATIENT CARE CORPORATION

Address: Amhsco Bldg., McArthur Highway, Dolores,


TIN: 000-265-811-000

P.O. No. 21-10-0283




Place of Delivery: Batangas Medical Center Delivery Term: NO P.O., NO AcceptanceIDate of Delivery: As need arises Payment Term: 30 days upon complete delivery

Stock!Property

No.

PIECE

Unit Quantity Unit CostDescription

300

Amount

BACTEC (pLASTIC) PEDS PLUS CULTUREBOTTLE BOTTLE FOR (PEDIA) WITH RESIN / AUTOMATED 2,000

MACHINE INSTALLED AT LABORATORY(MICROBIOLOGY SECTION) BECTON DICKINSONUSA, BOX OF 50

CLOSED SYSTEM VIAL ACCESS DEVICE -PROTECTOR, WITH 13MM - 20MM NECK

PIECE DIAMETER USED TO ACCESS HAZARDOUSDRUGS; WITHOUT FILTER, AIRTIGHT;LEAKPROOF

Balanced Forwarded

BLOOD CUL TURE MEDIA BOTTLE (PEDIA) TUBE

CLOSED SYSTEM VIAL ACCESS DEVICE -INJECTOR, ATTACHES ",.n._::> .u~''-'L' ':''':'' .

INTRAVENOUS TUBINC ~~AMfict!,OO&: nter ILOCKCONNECTIONm~I::lliJMtB£S~N ON A JCh900:

~;~~~;~~.:;~;. THOtIT~iVE[~ , I

250.00

120.00

120.00

1,132,590.00

500,000.00

36,000.00

120,000.00

1,788,590.00

(Total Amount in Words) --SUBTOTAL

III ne ________ 11 .~

In case offailure to make the full deliver( wi in the time specified above, a penalty of one-tenth (1110) of one (1) percent forevery day of delay shall be imposed on th ~litered item/so

RICK F. AI I (1J\ Very truly yours, VVTerritorial Sales Repr a vePatient CareCorporatlo seo RAMONCITO C. MAGNA YE,MD,FPCS,MHA

09190692799 / 0995~ 8 6 Medical Center Chief n1 3 OCT 20ll:onforme: ~----------

Signature over printed name1bfSupplierDate fbI It I 'lA

<und Cluster: ' 01:;'undsAvailable:

ORSIBURS No.:Date of the ORS/BURS:Amount:

CARMIN'" ~rr LO,CPA

~

DOH Government Accountmg Manualpage 315

~ ~



Address: Amhsco Bldg., McArthur Highway, Dolores, Date: October 06,2021







No.

Balanced Forwarded 1,788,590.00

CLOSED SYSTEM VIAL ACCESS DEVICE -ADAPTER, CONNECTS INTRA VENOUS BOTTLE

".--.... AND INFUSION LINE WITH A BUILT INPIECE MEMBRANE CONNECTOR FOR CLOSED 1,000 120.00 120,000.00

TRANSFER TO INTRA VENOUS BOTTLE, USED TOACCESSHAZARDOUSDRUGSWITHOUTF~TERAIRTIGHT LEAKPROOF

CLOSED SYSTEM VIAL ACCESS DEVICE -CONNECTOR, ATTACHES TO PATIENT'S

PIECEINTRA VENOUS LINE THAT WILL PROVIDE

1,000 90.00 90,000.00CLOSED CONNECTION USED TO ACCESSHAZARDOUS DRUGS, WITHOUT FTLTER,ATRTInUT· T II AKPR()()P

.I. .......... , ....... '""' ......... , A.JA.J4. .................... __ ...

POL YGLACTINI POL YGL _~~l.---- \

~ent('r !3-0 CUTTING LENGTH: 7( -90C ·a !24MM 3/8 CIRCLE, REVEB ~~ ,IOt\! ON ~U9dJPIECE ! 300.00 150,000.00I

STAINLESSSTEEL,SUPEI ~ORBL~~..E 'E ,

D),

/""'"'- STRENGTH, SUPERIOR N1 EDLE~~ . i\l- ATT ArJ.ll\AHl\TT I ~L'

Dy . ,,~c~[l;,:1'! . _~-::J/~JJC6JJJJ2J ~UBTOTAL 2,148,590.00-. ,n' ~a

(Total Amount in Words) '''' -/} - -In case of failure to make the full delive~F the time specified above, a penalty of one-tenth (1110) of one (I) percent for

'very day of delay shall be imposed on the eli v:. RICK F• .A~i :£Iv Very truly yours, ~

'''''todolSal es "~ff,m! ·Patient CareCorporatio r ~hS1 0 RAMONCITO C MAGNA YE MD FPCS,MHA0919069 • "

2799/0995 171 Medical Center Chief~ 1 3 OCT 20bConforme:

Signature over printed nUJ'l~ll!rierDate "U

Fund Cluster: Q" ORSIBURS No.:Hll, .."·l,, A·,,~11t;lhl~· n.,TO "+'ThO ()R~fRTTR~·L lA.1..l.\ .....~ .J.1.YU-LLUV.I."",. .£Ju"v V.L 10.11.\" .. '\J.L'-UI AJ V.I.'-U.« Amount:

CARMIN~'CPA -ttCO u

ccoun ItO/~~~ '~.

page 4/5

DOH Government Accountmg Manual

~.~ ~


Suppliers PATIENT CARE CORPORATION P.o. No. 21-10-0283

\ddress: Amhsco Bldg., McArthur Highway, Dolores, Date: October 06, 2021


rIN: 000-265-811-000 Mode of Procurement: PB June 2021

}entlemen:Please furnish this Office the following articles subject to the terms and conditions contained herein:

)lace of Delivery: Batangas Medical Center Delivery Term: NO P.O., NO Acceptance

)ate of Delivery: As need arises Payment Term: 30 days upon complete delivery


No.


SILK STRANDS 0, STERll_,E, BRAIDED, COATED,

,----._ PIECE NON-ABSORBABLE LENGTH: 13-15X60CM 60 105.83 6,349.80STRANDS, 15X24CM STRANDS

SILK STRANDS 1-0, STERILE, BRAIDED, COATED,PIECE NON-ABSORBABLE LENGTH: 13-15X60CM 200 105.83 21,166.00

STRANDS, 15X24CM STRANDS

SILK STRANDS 2-0, STERILE, BRAIDED, COATED,PIECE NON-ABSORBABLE LENGTH: l3-15X60CM ,_~OO _105..8J__ ---~--1 21,166.00

STRANDS, 15X24CM STRANDS~..

Mr:J~I:CG\ I:en!

~ Bstallq8s C'r INote: ( 0\,1'~:Sl :-;~ION AU OITPlease attach the following if applicable upon deli vel') ~'F'7 ~E~~~lED

(~ ~(NO attachment NO acceptance of delivery) ~-1. Certificate of Product Registration from FDA Ey2J5JJ2. Certificate of Good Manufacturing practice from FDA ( ,"j t (~ - T ID;~~i''111118 -

r", 3. Batch Release Certificate from FDA -TOTAL 2,197,271.80

(Total Amount in Words) Two million one hundred ninety seven thousand two hundred seventy one pesos &801100 only.

In case offailure to make the full delivery w~ the time specified above, a penalty of one-tenth (1/10) of one (1) percent forevery day of delay shall be imposed on the ur el1ered item/so

RICK F. AJ;b.. Very truly yours, t/V')I-torial So,,,1~'" RAMONCITO c. MAGNA YE,MD,FPCS,MHAPatient Care Corporat 0

09190692799/099 co Medical Center Chief IT j.r.:onforme: OCT 202~,

Signature over printed r;;:rl}of SupplierDate Y () tr;:" ,A

Fund Cluster:I '-Jd ,

ORSIBURS No.:Funds Available: •c:fYJ. I~. (I'j Date of the ORSIBURS:

Amount: 2,197,271.80

CARMIN~O'CPA rJ.ctJccountan [olre/~

page 5/5


cURCHASE ORDERBA1'ANGAS MEDICAL CENTER

,plier: MEDICAL CENTER TR.A..D!NGCORPORATIONdress:.. ,piQneerSt, cor. Shaw Blvd..

PasigCityDate; October 06! 2021

Mode o(Procuremeot: PB lune 2021

Delivery Term: • ~P.Q .•!2,~cce~Payment Term: 30 ~ upon-C.()t;npJete delivery

contabred herein:


5,55Q.OO

..---~~.•'\'1""

P.o. N.-)..__ 2_'_'0,1_0_-02_$_2 __

rl'"

Amount

584J)1!.OOf

/'

. .

P.O.,..Q,. . '. ll-1o.msi+etn" f - .

:.~~b.te::,riciobet 06, 2021

/ '\

, .P..o..No.· 21-1()..0282· -

n ··9~!::to:::.:ber:;:....;;.06;..;._Z_02_l__. ate~_

Atnount

I~--------------I.-·--P-U-R-C-H-A-S-E-O-RD-'-E-R--~-~----------~I

RATAN(;AS MEnlC'AI C'1i'l\1'T"Ii'V, . .____ .._.&-~_ .. __ ...._____ ....._ '-'~..1.""Ja......." • ....._

Stlpplit':r; 1\fEDALERT ENTERPRISES P.O. Nu. 21-10-0281Address; Unit A-187·127th Ave., East Rembo, Date: October 06, 2021~-'_. - .. _ .. -

Makati City

TIN: 145-875-908-000 Mode of Procurement; PB June 202 t


Place of Delivery: Batangas Medical Center Delivery Term: &!P.O., NO AcceptanceDate of Delivery: As need arises Payment Term: 30 days u~n complete delivery


No.

PIECEANAL HEMOSTATIC GELATIN SIZE: 8CMX

30 1,261.10 38,013 003CM)CURASPON,NETHERLAN~.~

THERMO HYGROMETER WITH CLOCK 3-4LINE LCD DISPLAY, DUAL SENSOR" BUILT-IN

UNIT AND EXTERNAL WITH CERTIFJCATE OF 6 4,886.10 29,316.60CALIBRATION THERMOlV:lETER, DIGH AL

CHINA

BOXENTRY MAT, STERILE, 24KX36", 22'S, STICKY

100 16,666.00 1,666,600.00PAD ..30 SHEETS PER PAD: CHINA

I I

PIECE KNEE IMMOBILlZER, CHINA SO 1,786.60 89,330.00

SPONGE BANDAGE, LARGE, 1O"X 16"X8,PACK TRANSLUCENT, WffiTRI.... ~~5-'S,\ 6,000 536.1 0 3,216,600,00

v-----.. B ~~W~~ca\ Ce:11<.f :

C~'\jlISSI0N ON AUDIT \ -c~~ElVED I SUBTOTAL 5.039.859.60. -O'£;' _)(Total Amount in W ords)

('), [-

In case of failure to make th...fT,lI "li}amr ,.nth," +~LJtlI.L'L I r/JIJ..d. 6~" a penalty nf one-t..nth ,!11 (\ \ "f "n" ( t ) eercen t for~.. _._. - .~. 'J' T ·Il. ~', - 'J-'_" '~_'\"'_'~'_"W\' y' •••••

every day of delay shall be imposed pnitk,,\iind-t: ..I' .. v~.

- Very truly yours, A~RAMONCITO C. MAGNA YE,MD,FPCS,MHA

S;~OfSUPPH'"

Medical Center Chief 11OC1 101~Conform0~ , '3

Date lei~ rC- ~"'J

Fund Cluster: 01 ORSlBURS No.:Funds Available: Date of'the ORs/BURS:

} Amount:

~(g~ft\Wm ~~ntantIV '~~trtAwrlrnr-r I Q 'ltVl'

Ip. fVlCt!i-<Y~ ptlge 1/2j "1 ;- ~ ,LUL. I

I\l'.. . , .. ' ~ JI DOH Government Accounting Manual

~ - - --~ -B Y: --~ ::_ r-of"

PURCHASE ORDER IBATANGAS ,MEDICAL CENTER

Suppner: MEDALERT ENTERPRISES P.O •.Nu. :!1-10-0281

Address: Unit A~I87 ~I 27th Ave., East Rembo, Date: October 06, 2021

Makati CityTIN: 145-875-908-000 Mode of Procurement: PB June 2021


Place of Delivery: ~atangas MedicalCenter Delivery Term: NO P,O" NO AcceEtaficeDate of Delivery: As need arises Payment Term: 30 days upon complete delivery


No.Balanced Forwarded 5,al9,859.60

SPONGE BANDAGE, XL, 24" X 16",PACK TRANSLUCENT, WHITE UNSTERILE, 20'S, 7,000 636_10 4,452,700.00

I 16PL Y. PHILIPPINES

~---: ~...- ~...- ~ -::;; -- -- . _ ..

I __ .!...1 ~!.J

MA TERW" HEIOHT: 4 1'0 5 eM . L-'\i\ffiTER: 3 ' , - - -.~ . ~. ,~ .. ,. -

T04 eM, VOLUME: 50 ML, PHILIPPINES ---1------'I

l3atanc as Mec)ic81 '.~enter \1

COIV1I~ SIO!',i Cit'.) Q.UOIT ! -Note: Rt~qn{~'1) \ -Please attach the followi~ ifapplicable upon delivery .~ ) \ -(NO aJlachment NO acceptance of delive1Jl) f' t;•.

~ij~~:.·i.\-

1. Certificate of Product Registration from FDA By ---- l»r - -2. Certificate of Good Manufacturing practice from FDA l~,~(! ~T -~ -j 111183. Batch Release Certificate from FDA .

TOTAL 9,519,529.60

(Total Amount in Words)Nine milliiJnflV~ illlndred nineteen thollSDlldjive hundred twenty nine pe ...vs &601100 only.

_- --I In ca~- of ta.ilure to make the full delivery wuhm tile tnne specified above, a penalty of one-tenth (1J 10) of one (1) percent tor,every day of delay shall be imposed on the undelivered item/soI

Very truly yours, V'-"RAMONCITO C. MAGNAYE,MD,FPCS,MHA

.~.=.~i;.PPI'~Medical Center Chil;,;[II

vCI'J -,". ,

-t " .)Ji I

Conforme:i J

Date [O-l-t-', ~~I

\'wld Cluster; 01 ORS/BURS xe..;;'unds Available: \'~05·WO Date of the ORSIBURS:

Amount: 9.519~5:Z9.60

CARMIN~A ococo antN /01 <jI <Vi r j.Qge ~/2

1 I:SPbClMEN CONT AlNER WITH SPOON AND

P1F.GR COVER, STERILE, POL YPROPELENE1) ~ 000 I R99 zs 970 00 I


-"PURCHASE ORDERBATANGAS MEDICAL CENtER

1ft .••.,I........---

P.o. No. 21-1....

»Me: OctdJer05t., .ModeefPraat .... c:· SVP

.IA-DfDeIIiverY:. _I"" _ge ~Tenn: . 'NOP.O~.NO'~·oaraof 0e'Iivay: 10~." upOn *"PI PO Paymert Term:30. UfO!! comp!e!8!?'i!!Y

Gentlemen: ..PfNIit·i\lnilhU1i8:ClIIfc:e":~oM·~~N;iiIct\O"t8nftt;_CXH~c:oI"""·bIAIfn:

UnIt

~. .PM~ P.lD;wt..t:.r.m_2: dMItarJpes. Paper I1fP8 SPe wtttt lideoz

72.000- _.48;eoo

,-TOTAL

. tn ... or.... tc> ",*-1"8 U deMfyWlltinthe tRliErspadftattabOYe. a paniIlf.orcna 81Itl ~1110}~~ fJ}.~ .•~_Ofdelay lhllbe ~ on the t.I1deINenldllri'lls.. .

R~C.lUQNA.w.tID.FPC8.MMAu.dicaI Center ChIef u

a q fJ"f~T ~4 ",.; L~'iJ

- ~ -~ . i .. " ":i<,.. "l,..~ ~

PURCHASE ORDER. BAT4NGAS MEDICAL CENTER

~ Ie,. "'0·' .........C··· ....;_WHOlesALE ---..

~....v. A ......... 1:. tALoC.t:.U .

•"plier: TRADING P.O. No~ 21-10-02792nd FlOor Metrowalk Complex Wtlremote

lIdftSs!" Building C. Pa.si9. Metro Manila - »Bt.t: Q.Pt@t05. 2021_.:N: 417 -140-10e..0OO

-- ... _.- "~-' _- .....M.o.-&(.p~nt: S-VP

InUemen:

Please fumish this Office the fOllowing articles subject to the tel'1TlS and conditions c:;ontatned hel'llin:

ree of OeHvery: aatanga. MJ(Hc"_~ DeIi~T~: Hg P.Q~.J"NO~ce.. - .-....~...- ....... -, -, -'

te of DeHvery: 10 calendar days upon receipt PO -P-aymeAt T-el'fl'l: aG-days -upon wmp1ete delivery

Stock!-operty Unit Description Quantity Unit Cost AmountNn ...,.. r-----

units . Emer:gency cart with Csr:diaC.Board 3 '96.~.&> 289,996.60

AI

B.tangas r.. eclical Ct'!!nt<':'r 1Plea" ~ attached Technical' Specifications COJlllISSIG f\l or\] .AUC'IT t

R~ ~I'T.?J I~

.:::a '\f r~.,;

By r,m~©~lIW ~ l:'\~~ - U fD1J!UO_)J- ,

--

.ocr 1 8 2021 iune --. . 1·4S....

BY:~ ___~~

TOTAL. 281,9 ......

al ,AmQlJtlt.in Woms) Two hundred ~ nl~ ~,.. ..... nfne hQfldrect ninety six pesos arid 5OIfOO orily.

~se of failure to make the full delivery within the time specified above, a penalty of one-tenth (1/1.0) of one (1) .percent for~day of delay shall be imposed on the undelivered item/so

Very truly yours. r:.

J~l'an

RAMONCITO C. MAGNAYE.MD,FPCS.MHAMedlcal Center Chief II

1f1n8: 1 1 OCT 202:1~Igrt~~ Qyer PIlnted name of SupplierDate October ~-5, 2021

Cluster:'. 1J) ORSIBURS NO.: (X,. 'OUOl~20"'~ M}·-lJDW)

Available: ...:.:....:..:.::.._~~ f14.{~ Q2 Date of tt.le ORSIBURS: \O/lJlll ... ..

Amount: 289.998.10.. • • ;;;:j

CARMINA O. s::i:.O;OPAA~ I

I·

J':

" PURCHASE ORDER,

BATANGAS MEDICAL CENTERSupplier! Corbridge Group Phils ..Inc. - P.O. No. 21-10-0278

Address: West Avenue, Quezon City Date: 4-0ct-21

TIN: Mode of Procurement: NPEC

Gentlemen:Please furnish this Office the [oUowing artictes subject to {he terms and conditions containedherein:

Place of Delivery; Batangas Mediall Center Delivery Tenn: NO P.O., NO AcceetanceDate of Delivery: 5 calendar days Payment Term: 30 days upon comElete delivery

Stock!Pr.~,-Unit Dosc.riptiQll. Qtianti1¥ l.Jnit.c~ AmountNo.

piece HEMOPERFUSTON CARTRIDGE 50 30,000.00 1,500,000.00

• Loading capacity (ml)330±3 -/.----......

._ Volume (ml) - 18'5::£:5• Absorbent material: styrene Divinylbenz .• Housing material: Polycarbonate ----..-- 1---._-_.-.-'--,

• Sterilization method: Irradiation Sterilization i E atangas Meclie I Centi:r I• Unit Package: 290MMxl0SM1--1xlOSMM .\ CC~M!SSl()\\l 0 1\1 AUCJlT I

t

, • With local and international stu4y Rr=' "~>r"'?r"('!' 7' I \

• with inclusion ofZ5,000iu heparin equivalent to ~'l,,~U ~ ~. .,

·if~

the total quantity. ,Igaya

By ;"~m M"-mh,,r

\):i ~ - 71Jaj.. " - ~:Ol./lUI e -' -

( NO alhzc/rment !!fl acceplJlrice of delivery)'I. Certificate of Product Rcgistratiollfi'om FDA -2. CerlifJCoJ.e oJGoodMmwfocJuring proctice from FDA -3. Batch Release Certificate from FDA -

TOTAL 1,500,000.00r"'"

\ ..uta! Amount in Words) One million five hundred thousand pesos only.

. In case offailure to make the full delivery within the time specified above, a penalty of one-tenth (l/10) of one (1) percent forevery day of delay shall be imposed on the undelivered item/so

Very truly yours.~

JOHN ALV~ CHUA

RAMONCITO C. MAGNA YE,MD$PCS,MHAMedical Center Chief II

Conforme: o 6 OCT 2021Signature over printed name of Supplier

Date 10 - 06 - 2021

Fund Cluster: 01 ORSIBURS No.: tJ:)./0 110I, jj'-/ D- IYY/) .

Funds Available: 1rtWt Wl" IN iDate of the ORSIBURS: lo/o.t1~

:]rnlf7(r)f?rlnnrrtn Amount: 1,500,000.00

CARMlN~~ 7 r\1v~prAC~ .A untan ~ (~~1':", I 20"1 V../ \,'_ I .1 oJ L

JOCS'-=7L'JU U CJ~DOH Government ouming Manual

I

;,. .f ~

7- -". PURCHASE ORDER\.

I BATANGAS MEDICAL CENTER.l ,,-

llPp~~~elTrouE Phils.:~nc.''- P.O. No. 21-10-0278

-.d<Jr.e s: I West Avenue, Quezon ~lty Date: 4-0ct-21

.

~IN: Mode of Procurement: NPEC-. .

Gentlemen: _- ., .Please furnish this Office the following articles subject (0 the terms and' conditions contained' herein:

m of Delivery: __ ~as l\kd.!fpl-eelnter .Delivery T~rm: .NO P.O., NO Acceptance--- Payment Term: 30 days upon complete deliveryDate of Delivery: 5 calendar days - --~~

Stock! ~. Prepercy Unit Descnptioa . -Quantity· Unit-C$t - Amount\. No.

piece HEMOPERFUSTON CARTRIDGE 50 30,000.00 1,500,000.00

• Loading capacity (ml)330±3 -• Volume (111t) - t85±5.~ • Absorbent material: styrene Diviaylbenz '..• Housing material: Polycarbonate• terilization method: Irradiation Sterilization• Unit Package: 290MMxl05MMx105MM

- • With local and international study• with inclusion of 25,000iu heparin equivalent to

the total quantity

( NO attachment NO acceptance of delivery) -1. Certificate ofProduct Registration from FDA -2. Certificate of Good Manufacturing practice from FDA .3. Batch Release Certificate from FDA .

TOTAL 1,500,000.00....--..,tal Amount in Words) One million five hundred thousand pesos only.

In case of failure to make the full delivery within the time specified above, a penalty of one-tenth (1/10) of one (I) percent forevery day of delay shall be imposed on the undelivered item/so

Very truly yours, V>RAMONCITO C. MAGNA YE,MD,FPCS,MHA

Medical Center Chief IIConforme: o 6 OCT 2021


- Date

Fund Cluster: 0\ ORSIBURS No.: a;../0'fi_«J«) IFunds Available: l~,OD·\rV Date of the ORSIBURS:«z Amount: 1,500,000.00

CARM1N~ ~<=o ~D' II '""ccoun~ JlJM1r~[rllWI r?1 v-

i 0" T 0 5 2021 DOH Government Accounting ManualI \ l.

: IHS\5I''I'ILJU U LJ

i

·_ _. .. ,~ ' .. -~

l'.RAC1'Oa/SUPP'u£1l l~ tifT ~A"V -PHJUPPfNES,iHC. J08 ORDER'NO. '21-1CHi2771-' - --- --

RiSS 21F rol'tl4fle· Bldg:. Pasig-Blv!;!", Sage:!ll·lIGS. Pa~ City· DAT.E G4--Oot--.U

110. 007 -603-943..()()O MOD£OF' DIRECTP.tlOCUREMEN1' CONTRACTING

~CE OF DELIVERY Ml~~~-~DEUVERY TERM NO JOB ORDER

KUMINTANG 1BASA, BATANGAS CITY NQ ACCEPTANCE OF DELIVERY

JECr COMPlEl10N within 30 days upon receipt of Purchase Order PAVMENTTERM 30 days upon completedeltvetv.

P'ERTY iiojetT ib:iurilON auANTtn UNIT YNITCOST10. AMgYNT

At

CORRECTIVE MAINTENANCE OF ElEVATOR 1 set 17,000;00 17,000.00

BielAC£fa:1~WgE £AmiH~LLWAY'iND1CATOR

SCOPE Of WORK;

1. Supply and installation "2. T-estlnc·and commls!ionll'l.S-

eBg~~lgtll gf;W~ EOUO~1W1-Service Reportsw.~mm~.~~ Batangas

--,

Delivery Receipt and Sales Invoice Medical CenterWARRANTY: 6 months upon delivery COMI3S1 IN O;\j Ai_.:Dil ,

Note: I RE~ .....r' R -. T-) I"'" \ ..~,..,. ".t." ~¥ ...... t...PleQIIINJltacJr.thefoHf1wing-tf4pplicabk. gpon-tklIYery

By :_C fl..J;" ~ .(~~_~ fi!!..~pJ~)

( );1t~ lflIftj ....~- I. I.CB11lfIc4iB qfProductllllgWtrtlJon/r.om.F.JJA -j 1111(: 1~1.J? C~ qfCkJodManu/11ClUrlng pl'l'lClice from FDA

13. Butch Reka.Je CertJjI{lQIe from FDA -~.... .......... it ... _ - -- - -

JOSO·ROER

J. AMOUNT IN W.dRDS)

"'HAL. AMUUN-I-I

Seventeen thousand pesos oniyse of failure to make the fuff delivery within the time specffled above, a penalty of one-tenth (1/10) of -one (1) percent for every dayay·sttaU-be impe:sea em tne-wmtelivered- item/-a. V\/

Very truly yours,RAMONCITOc, MAG~YE!~~,..,MHA

Medica >~t~Ifi""

Cluster::;Available:

:s..rsS:F::Q2§f.a.oomputer~-fGrm. NO Stamping-needed. 'R8y_'02


THJN.KIH~TER omeE £OIJJPMeNTsu~~r. ~T_RA_m__NG~ __

tid C.1~' 7.TandllIf Sc.nAdd.... : "W. MatandaD.l8alara, ~n CitynM; 455~751.16a-OOO

~: October 04, 2021Mode Of PJ'OCUI'WIMnt pintCI ~!!t9

Gentlemen:

Unit Quantity Unit Cost Amount~---~ -

1 3,500,00 3.-.001 3,500.00 3.100.00

eo 1,500.00 12DtOOO.OO15 2.800.00 42,000.0015 2.300.00 34,100.00.SO 1,200.00 16.000.0030 200.00 '. '.000.•6 200.00 1,000.00

20 2.000.00 40,010.00

Ptace of Oetivety; eatanp! MedQt.Center 0eIIvery Term: NO P.O., NO Accept!n<ie10 calendar dayS upon complete

Date Of Delivery: dell¥!!)' Payment Term: 30 days ~n complete delivery •

StockJProperty

<'II 'No.pcpc,

bottles~roll

bottleSpes.pes.pair

Ctut<lh tbr EZ 331 R\SO MadlinaClutch fOr CZ 331 Riso MachineInk EZ 331. Btack, 1000mf for Ri$OgrapllInk EZ 331 ,Master. 250 per roll tor RisograpbInk EZ 180 Master, 200 per roll for RisograptlInk EZ 180, Bfaek SOOmI for RlsographStrfpper pad for RfSO Mact'IineStripper Base for Riso MachinePick.-up 1-o1'lVi fVi ruao Machine

Note:P1ftPtI ~mlt tf1Il fOIloWillg. If aw~. UiJ(II'l o1al1v.ilfY '(NO IIttHJmient NO~ otdeti_.y),. ~ of ~IICtRegitQtioIl from FDA2 Ce~1lt of Good ManUfacturing P1KtIOI froI'n FDA3, ~ ReJeaM Cetfjffl;at. from FDA

Batang, s Me-r;;c.al cen~:;;-- .\COMIS'p\ON Oi'~ fl,UDiT

RtECEi\/EDrr--r.., ")" .JI'UW''J

1111 J'2.1 ~, '. l " ,. '

(Tolal Amount in Words) Thlw hundred forty six thousand five hundred pesos or ~~l11118 I J'.c;o

In-case of failure to-~ the fuIr delivery wiIhi,ntb'lt tiITl6 speeIfied above-, a pen.uy 0 Otte-te11th (1/10) of one (1) percentrevay..., of -. .nail be ......... "" ... unctiOJveo<i<f ..... ~ .

/) .II Very truly yours,

Fund Cluster:, FundS AI/sUable:

CARMltfA C. ~., - ..,CPAA~

I

/ <, -'\


~1Jnnljp.~. STA, ANA ENTERPRISES P.O.N{}. 21-10-0275--.......... _..Address: No. 10 Bellington St., Suburbia North Date: October 01, 2021





Date of Delivery: As need arises Payment Term: 30 days upon complete deliveryI

I Stock!Property Unit Description Quantity Unit Cost Amount

No.

CATHETER CHEST DRAINAGE THORACIC, F24,STERll.,E, STRAIGHT, MADE OF :MEDICAL GRADE

PIECE THERMOSENSlTiVE, POLYVINYL CHLORIDE, i5 369.00 5,535.00

.r>. WITH LAST HOLE INDICATOR. 8.00MM X 445-MM,UNIMEX


FiliCE THERMOSENSI'llVE, POL YV1.NYLCHLORiDE, 15 369.00 5,535.00WITH LAST HOLE INDICATOR. 9.00MM X 500MM,UNIMEX


n.Jr./"""r. Tl".lr.n.J..~..t"\..Cr..•.u:".z"r.n.tr. ~.f 'J....T~/'.!;,.._.!' ••_,l E"lU ..("\nlor: -cr» ",,:,~.("\r>.A 1a sc r» £\1"\

r u.;"",.LJ 1. .I.,l..L.J.l.UV.1vtJ,LJ.. "h.~.l..1. J. Y .L..t, .I. VLJ.l. v.u. ~ .I...l.J \....;.I..1..1....tVJ.'-1..1.J.I.,..;" ..)V JU7.VV 10, ....JV.vv

WITH LAST HOLE INDICATOR, lO.7MM X 520MM,UNIMEX

CATHETER CHEST DRAINAGE THORACIC, F36,STERILE, STRAIGHT, MADE OF MEDICAL GRADE

PTFCE THERMO SENSITIVE, POLYVINYL CHLORIDE, 100 16.900 16.,90000/'" WITH LAST HOLE INDICATOR. 12MM X 520MM,

UNIMEX ~. '" - ...

! Batangas M~cJical Cel,;.:>r 1 SUBTOTAL 66,420.00

(Total Amount in Words),UIVifvuIV)'J 11\1pl,)U! I

I"'t r;- #"I) If'- • -" ,10'" """

In case of failure to make the fuJ deliverrw~e~Jfu.t~c· d at:pve, a penalty of one-tenth (1/10) of one (1) percent for.

very day of delay shall be impose kH31'1- the :U1.!.®!ffi r!fl. rIrij_ s. --_.D;';;(~. _==rD.!J1 .J&~ry-tftlb yours, ~11111(-1 U'-

---lt1! MONCITO C. MAGNA YE,MD,FPCS,MHA

j r' r.-=@~Medical Center Chief n 080Cl 2021

'onforme: W~Signature over printej name of Supy~.ie/ llU&

. Date Ib r11 Ir or-r () '1('i')1~ "'..., .... ~ ..

linn rlll~t~r' QB Y: ____~02..t1!

ORSlRIJRS No'

unds Available: ~ of the ORSIBURS:

CARMIN~LO,CPA

Amount:

t~dl-:

c ant IV~ oaee }/}·1


'. r=>;


.~1Jnnljp..,.. STA, ANA ENTERPRISESP.O.N~. 21-10-0275

~-rr"-' •

Address: No. 10 Bellington St., Suburbia NorthDate~ October 01, 2021



Gentlemen:


Place of Delivery: Batangas Medical Center Delivery Term: N_OP.O., ~ AcceptanceDate of Delivery: As need arises Payment Term: 30 days upon complete delivery


No.

Balanced Forwarded 66,420.00

CONDOM (TJLTRASOTJND PROBE CONDOMCOVER) HYGIENIC PROTECTION COVERS;

,~ PIECE STRAIGHT -WALLED WITH SMOOTH SURF ACE, 1,000 22.00 22,000.00ROUND ENDED AND ITS FEATURES ARECLOSELY'REL'l'ED TO CONDOM, GENERlC

PIECEDENTAL NEEDLE oso (O.3X2iMM) SHORT

200 3.55 710.00STERllJE SINGLE USE, GENERIC

PIECEACUTE DUAL LUMEN CATHETER KIT, CURVED

50 5,850.00 292,500.00EXTENSIONS FR12, 16CM, 160MM, RENASENZ

PIECE DUAL LUMEN DIALYSIS SET, STERILE, FR. 12,150 4,350.00 652,500.0016CM, 2ML, GENERIC

FEEDING TUBE/ NGT FR 10, STERiLE, NON-~ PIECE TUXlC, NUN-PYKUUcNIC, WlTH TUP CLUSUKC, 100 2~.25 2,~25.00

LENGTH: 125CM, SIMPLEX

,SUBTOTAL 1,036,955.00Batangas Medb31 Cf.:n:(-'~ I

cor-nssrou Of\) J.\UI)(f I(Total Amount in Words) - I

In case of failure to make the fulldJ livery vvn; ~ t......_ ~~ abov ,a penalty of one-tenth (1/10) of one (1) per.cent forrvery day of delay shall be imposed ( n~e ~;~ Ite~s.

Do'" . _ - -.~__YY( urs, yvilfn(:l •

M'MONCITO C.MAGNAYE~$PCS~

L Medical Center Chief II 8 OCT 2021:::ouforme:

Signa~: over pnpted name oft/rJje~nL -AD.C"./DT:rD.c 1'_r.-. ~: .. __ ..... ..1 r~__._............~

'--'J.'\.jJ/JJV.l.~ l."U .•.UJ.LU '-...I.l ......:>LvJ. •

:'.unds Available: fDate of the ORSIBURS·:

~Amount:-ac»CARMIN~:;~;~:?t\lLLO;CPA ro/~~1 ('Acco tIV

.. _, ~"page ,/,11'1


r>; ~


~1Jnnlj~J". STA, ANA ENTERPRISES P.o. Nfr. 21-10-0275--rr··_· .Address: No. 10 Bellington St., Suburbia North Date: October 01, 2021




Place of Delivery: Batangas Medical Center Delivery Term: NO. P.O., NO. Acceptance



No.


FEEDING TLTTIE!NGT FR 12, STEPJLE, NON-PIECE TOXIC, NON-PYROGENIC, WITH TOP CLOSURE, 300 28.25 8,475.00

r>. LENGTH: 12SCM, SIMPLEX

FOLEY BALLOON (CATHETER 3-WAY) FR22,

PIECE(7.3MM) 30MT" STERIT ,F, SITJCONE, VAl VF

30 232.50 6,975.00TYPE; LUER SLIP SYRINGE, LENGTH: AT LEAST16 INCHES, SIMPLEX

FOLEY BALLOON (CATHETER 3-WAY) FR24,

nU:2£"lJ(7.SMM) 30ML, STERILE, SILICONE, VALVE TYPE; .c:n ,",":2"" .c:..n. I I <=.'"11:. nn

.I..l..L.lV.J.J LUER SLIP SYRINGE, LENGTH: AT LEAST 16 JV ~J"-' . .JV .L J..,v~.J.vv

INCHES, SIMPLEX

SYRINGE, 1CC, LATEX FREE, NON-TOXIC,

pmCE STERILE, SMOOTH PLUNGER ACTION,'1 ()OO 1.65 4. ()so 00..--.... TRANSPARENT BARREL WlTH GRADUATED -,_ ... ..- "- ... ~.- ...

SCALE, COSMED-

Batangas Medical Cen;;:,~ i SUBTOTAL 1,068,980.00

(Total Amount in Words) l;UIV"::;SION O[\j AUDiT i--In case of failure to make the ull deli"~.rIi::.~~l1 .f-'-' j~ed jiliove,apena1ty of one-tenth (1/10) of one (1) percent for

every day of delay shall be impc s@'pn the undell I~ 1 em/so

r.;;\~e . =--= ra]llt~-y~ry_tr1~y yours, /l;III'll~ ~_. __..

.JlAMONCITO C. MAGNA YE.MD ..FPCS ..MHAMedical Center Chief II

~(l9 OCT 2021

page 3/14

Funds Available: Date of the ORS/BURS:Amount:


~ ~


~l1nnli&L"'. STA, ANA ENTERPRISES P.o. N!}. 21-10-0275I~-rr··-·.Address: No. 10 Bellington St., Suburbia North Date: October 01, 2021




Place of Delivery: Batangas M~.dic~lCenter Delivery Term: NO P.O., N_OAcceptanc,e



No.

Balanced Forwarded 1,068,980,00

TRACHEOSTOMY CHANNEL. ADITLT. S-6, WIADmSTABLE FLANGE, 15MM COLLECTOR,

r> RADIO OPAQUE, NON-TOXIC, SILICONIZED ORCLEAR PVC TUBE, TUBE SHAPED, SMOOTH

PIECEINTUBATOR, MADE OF MEDICAL GRADE THEMO .

10 3,380.00 33,800.00ELASTIC POLYURETHANE, WI ANATOMICALLY'"14APPT\ cwrvnr ""n:;rl<pT\ m A""Tr.P 1\.<!:c\'lTMr.0...;.£. ............................. o..J •• .A. ........ _ ... ,.-... ...............__.-, ....................... _ ................ _ .. ~,_

AROUND TWO AXES (HORIZONTAL ANDVERTICAL), WI PRECISE FIT BETWEEN OUTERAND INNER CANNULA, SHILEY

T-TUBE, S-14, RUBBER LATEX, STERILE, NON-I PIECE TOXIC, NON-PYROGENIC, T-DRAINAGE TUBE, 20 163.80 3,276.00

L:2QCM TO 3'OCM,GENERIC

T-TUBE, S-16, RUBBER LATEX, STERILE, NON-PIECE TOXIC, NON-PYROGENIC, T-DRAINAGE TUBE, 15 163.80 2,457.00

r---.. L:20CM TO 30CM, GENERIC

-_ _ .._I SUBTOTALBatannas MArl i,,::!I ('':>1); ~r i 1,108,513.00

(Total Amount in Words) . CO~/HSSION O~'J,I\UD!T !I

In case of failure to make the f 11 delivRiGS'Vrh ~cified e bove, a penalty of one-tenth (1110) of one (1) percent for

wet)' day of delay shall be impo '1':' the un~ i

yyours, ~[);t:(~ . ;t ery1iu

T11118 .=-- . --,oRU10NCITO C. MAGNA YE,MD,FPCS,MHA

;(Medical Center Chief IT ~(IB OCT 202f

Conforme:

Signature over pryl'{ed name o/_~ir1Date D '1/ 11

Fund Cluster: (J ,IORSfBURS No.:

Funds Available: I....... ,..., _'rio"" "_T~""uate or me UK1S/1:SUK.:S:

Amount:

LO,CPA

pngp 4//4


~ ~\


~l1nnltJ1". STA, ANA ENTERPRISES P.O. No. 21-10-0275--rr"-' .

Address: No. 10 Bellington St., Suburbia North Date: October 01, 2021




Place of Delivery: Batangas Medical Center Delivery Term: NO P.O., NO AcceptanceDate of Delivery: As need arises Payment Term: 30 days upon complete delivery


No.Balanced Forwarded 1,108,513.00


~ L:20CM TO 30CM, GENERIC

I T-TUBE, S-20, RUBBER LATEX, STERILE, NON-I PIECE TOXIC, NON-PYROGENTC,T-DRAlNAGE TUBE, 10 163.80 1,638.00

L20CM TO 30 CM. GENERIC


.L:20Crv:fTO 30 eM, GENERIC

T-TUBE, S-24, RUBBER LATEX, STERILE, NON-PIECE TOXIC, NON-PYROGENIC, T-DRAINAGE TUBE, 10 163.80 1,63'8.DO

L:20CM TO 30 CM, GENERIC

CERVICAL COLLAR, DURABLE, LIGHT WEIGHT,~ PIECE n .. T""'J""'. "'T'~ "F"'l.'nT'" ~T"'~"''''l.'_,~'''l.' __ , "-"'T"S "~"'l.'~T"'n~".. T'""STro.<"T""S"ST"'."Y':o- 50 552.00 27,600.00.3fi£.c .1 V U.3.c, ~UU\_.,li'OjV \_"01"\.J.'Oj\_.,.c.3 vr r U~.lru:::.~

INJURY ON CERVICAL SPINES, MEDX--- ---

Batangas MerHcal C8)·,I:'" I SUBTOTAL.I ..1,142,6.65.00

(Total Amount in Words'COMISSIUI'I \ji"\J f-\IJlJ'1 I I

I__ 811 "It""""""

It1rE'. uJ::,.Uj' ~;,In case offailure to make thr full delnw.y ~~~le .e ,s)ecifie above, a penalty of one-tenth (1/10) of one (1) percent forevery day of delay shall be imr °lW on the un e{ild;l;e_,!,!s"__ t

P"ie . -- lU/U:zij~ lyyours, VV1line 4. _.

-- ONCITO C. MAGNA YE,MD,FPCS,MHA

jMedical Center Chief II .0 B OCT:::onforme: 2021

Signature over tinted name of SUP,,:e~Date / f) II ''1{

~tm.dCluster: OJ OPS/BlJPS No.:<undsAvailable: Date of the ORSJBURS:

CAl<M""~~;CPA

Amount:

(~W~)'I~'"'- tIV~ .f:"1' .J

P"1(,f: ..JI ''IDOH Government Accounting Manual


21-10-0275Supplier: STA~ ANA ENTERPRISES

Address: No. 10 Bellington St., Suburbia North


TIN:

r.o, Nfr. -------Date: October 01, 2021

137-763-406-002 Mode of Procurement: PB June 2021


Date of Delivery:

Place of Delivery: Batangas Medical Center Delivery Term: N_QP.O., ~ Acceptance

Stock!Property

No.Unit Description Quantity Unit Cost

As need arises Payment Term: 30 days upon complete delivery

5

n.~ .r rv::1'+.vv

Amount

Balanced ForwardedLARYNGOSCOPE SET, PEDIA, SHOULD SUPPLY 4DIFFERENT SIZE, STANDARD BLADES & INNERHANDLE & ONE SHORT STUBBY HANDLE;

SET STAINLESS STEEL MATTE FINISHED; EXTRA 10 7,980.00LARGE BLADE SHOULD BE SUPPLIED ALONGWITH EACH SCOPE; PROVIDE SPARE BULB - 6NOS, MEDX

NEUROHAMrvlER, TAYLOR HAMrvlER WITHPIECE TRIANGULAR RUBBER COMPONENT ATTACHED

TO A FLAT METALLIC HANDLE, GENERIC

PLASTER OF PARIS 4", NON-STERILE,HYPOALLERGENIC, PLASTER CLOTH BANDAGES

PIECE EASY TO CUT STRIPS AND SUITABLE FORMAKING MASK SHELL MOLDS ULTRA FASTSETTTING,ORTHOSENZ

PLASTER OF PARIS 6'\ NON-STERILE,HYPOALLERGENIC, PLASTER CLOTH BANDAGES

MAKING MASK SHEl.L MOLDS lll..TRA FASTSETTTING,ORTHOSENZ _ _. _,

234.00

200 85.80

1,142,665.00

79,800.00

1,170.00

17,160.00

(Total Amount in Words) CUIVII::>t:>IUI'oj UI'J t-\u UI I i......_-- '3r-n

Batangas Medical cel~:~.~I SUBTOTAL 1,259,715.00

In case.of failure to make the ~ deli~~ ~lfyte~~~oo ~ve, a penalty.of one-tenth (1/10).of one {1) percent for

every day of delay shall be impr s~~,: the undel~Yf-~-f~tr~~ __ .( . I,.. . _. lIl,fll Y yours, l/l/llt'lC~ .- r -

" AMONCITO c.MAGNAYE~MD~FPCS~MRAI Medical Center Chief II ()

Coraforrne. IV lI! B OCT 2021Signature over priny(d name of SUPplier)

Date II III 2)r:" ....... 1 E""I~ __ .A. r.o,...

l'W1U v.lU"L~l.

Funds Available:01 f AnC1Jn~mc ~r,_ -_

V.i.'-l..)/.L.JUl.'-!J l~U ..

iDate-of the-ORSIBURS:Amount:

page 6/14


~ »=>:


~1Jnnli~ ... STA. ANA ENTERPRISES P.O. No. 21-10-0275~-rr··-·.Address: No. 10 Bellington St., Suburbia North Date: October 01, 2021




Place of Delivery: Batangas Medi~ Center Delivery Term: ND P.O.,!'iQ AcceptanceDate of Delivery: As need arises Payment Term: 30 days upon complete delivery



PIECEWADDlNGSHEET 4", NON-STERILE, FOR

500 36.45 18,225.00-r>; SURGICAL CAST PADDING, OTHOSENZ

ROLLC-ARM THERMAL PAPER, 210MM X 25M HD TYPE

10 2,325.00 23,250.005,GENERTC

COTTON ROLLS, 400G, ABSORBENT, UNSTERILE,

ROLLPURE COTTON, FlNE FillERS AND CLOSELY

100 ]58.40 15,840.00. PACKED TOGETHER, PURE WHITE COLOR,TENDER SOFT

PIECEINCENTIVE SPIROMETER ADULT WIDE FLOW

50RATE RANGE 600 TO 5000CC/SECOND, GENERIC 1,120.00 56,000.00

,, lNCENTIVE SPIROMETER PEDIA WIDE FLOW~ PIECE 50 1,536.00 ,"",.,- r'.<' ...•··•..• '......

RATE RANGE 600 TO 1200CC/SECOND, GENERIC IO,OVV.vv---_ ...,n ~A. .(''''n·.",' !- ',.' j SUBTOTALrOl\/HSSION ON Al JDIT , 1,449,830.00I

(Total Amount in Words) RF~r.:~\!~Dill case offailure to make the full doJiyery.Wi~d abc ve, a penally of one-tenth (1/10) of one (1) percent for

every day of delay shall be imposer ¥.'y~~~~~ ___. . -- I-III' :\..'! • "erYJruly yours, rv

~ _..:.-.,JRAMONCITO C. MAGNA YE,MD~PCS,MHA

;L Medical Center Chief II ,0 8 OCT 202tConforme:

Sign=: overprintefame ofjS;PYllltiQl

,I

IORSlBIm.S No.:Fund Cluster:Funds Available:

IDate of the ORSIBURS:Amount:

........... ".lJ .,Y"'5':" II.LT


~, ~


~l1nnlij1". STA, ANA ENTERPRISES P.O.N{}. 21-10-0275~-rr---- -

Address: No, 10 BellingtonSt., Suburbia North Date: October 01, 2021



IGentlemen:! Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery: Batangas Medical Center Delivery Term: N_Q P.O., ND Acceptance



No.


NbHUL1Z1NU KlT, NUN-STbKlLb, TKANSPAJiliNT,

.r>; PLASTIC, CLEAR TUBING, WI 7" STAR LUMEN

PIECETUBING, WI TEE, WI REMOVABLE MOUTHPIECE,

700 47.25 33,075.00COMP ATlBLE FOR CONNECTING WITHSTANDARD MECHANICAL VENTll..ATOR TUBING,SURGITECH

ORAL AIRWAY, SIZE: 0, DURABLE PLASTIC,TRANSPARENT, SMOOTH FINISH W/ ROUNDED

PIECE EDGES, REINFORCED BITE BLOCK, WI CLEAR 15 79.80 1,197.00PLASTIC CASE, SINGLE USE, NON-STERaE,COLOR CODED, KENXIN

ORAL AIRWAY, SIZE: 1, DURABLE PLASTIC,TRANSPARENT; SMOOTH FINISH WI ROUNDED

PIECE EDGES, REINFORCED BITE BLOCK, WI CLEAR 15 79.80 1,197.00nJ A """"'11" r" ..\ ~. . .r! • ",,~r~:!'k~ {''''T's-:'nl'J. "'?


SUBTOTAL 1.,485,299.00

page 8/14

e, a penalty of one-tenth (1/10) of one (1) percent forIn case of failure to make the fullevery day of delay shall be impose ----:::: VV'

RAMONCTTO C. MAGNA YE.MD.FPCS,MHAMedical Center Chief~ 8 OCT 2021

ORSIBlJRS No.:Date of the ORSIBURS.:Amount:


CARMIN~.CPAAccountant IV


~ .r=>;


~l1nnUp.,.. STA, ANA ENTERPRISES P.o. N!}. 21-10-0275--............ _ ...Address: No. 10 Bellington St., Suburbia North Date: October 01, 2021




Place of Delivery: Batangas Medical Center Delivery Term: NQ P.O., ND AcceptanceDate of Delivery: As need arises Payment Term: 30 days upon complete delivery

, ,I ~t(l~Jd Il" .......~......



ORAL AJRWAY, SIZE: 2, DURABLE PLASTIC,TRANSPARENT, SMOOTH FINISH WI ROUNDED

-r>; PIECE EDGES, REINFORCED BITE BLOCK, WI CLEAR 25 79.80 1,995.00PLASTIC CASE, SINGLE USE, NON-STERILE,COLOR CODED; KENXIN

ORAL AIRWAY. SIZE: 3. DURABLE PLAlSTIC.TRANSPARENT, SMOOTH FINISH WI ROUNDED

PIECE EDGES, REINFORCED BITE BLOCK, WI CLEAR 7 79.80 558.60PLASTIC CASE, SINGLE USE, NON-STERILE,

.COLOR CODED, KENXlN

ORAL AIRWAY, SIZE: 4, DURABLE PLASTIC.TRANSPARENT, SMOOTH FINISH W/ ROUNDED

PIECE EDGES, REINFORCED BITE BLOCK, W/ CLEAR 50 93.10 4,655.00PLASTIC CASE, SINGLE USE, NON-STERILE,COLOR CODED, KENXIN

OXYGEN FACE MASK, PEDIA.,NON-STERILE,~ PIECE CLEAR, VINYL, ADJUSTABLE NOSE CLIP, 500 43.75 21,875.00

SURGITECLJ --_ .._-- ··--····----1O. .~ '...... ~""rl; .. ..,1 r,., , ".r

'_'" '

SUBTOTAL 1,514,382.60r.OMISSION O(,J AlJDIT

(Total Amount in Words) RFCE~VEn,In case offailure to make the full4e~very wit~une -kpeciued abo e, a penalty of one-tenth (1110) of one (1) percent for

every day of delay shall be imposed P1f.mfeUl_l~vereQ WlfJ'rt J.O~-1IIn8. ij!(~Verytrulyypurs, ~

Confonne: ~~~----------------Signature over p/mted n~e ot;SUJ1Plier

Date 1 (~/1/ / ?A

RAMONCITO C. MAGNA YE,MD,FPCS,MHAMedical Center Chief n [II 8 OCT 2D2f

FlInd Cluster.Funds Available:

d' ORS/BURS No :Date of the ORSIBURS:Amount:

CARNDN~~PA.A!. tant IV


·Supp!ier: STA, ANA ENTERPRISES

Address: No. 10 Bellington St., Suburbia North Date: October 01,2021


TIN: 137 -763-406-002 Mode of Procurement: PB June 2021


Place of Delivery: Batangas Medical Center Delivery Term: N__Q P.O., NQ AcceptanceDate of Delivery: As need arises Payment Term: 30 days upon complete delivery



n r.C'.f -!C'E""~ "T" ,.t "T£'U" n ..t./"'" ...t rt..f !l T U./t'T"ll·J. '*. .t CIt.' A:)_~n.L~tr.,)utr.,)'-'.I..1.I1.1.v.1.'-.un.u, ~VJ....JJ., ",j..I.J..I.l.VJ...l"'hJ.n •. ru.'1JJ

VALVE: 168ML, PRESSURE RELIEF VALVE: 60+/-~ 1OCM H2O, 02 RESERVOIR BAG VOLUME:

2500ML, RESUSCITATOR BAG VALVE: IS00ML,PIECE STROKE VOLUME: 800ML (ONE HAND),1350 10 2,430.00 24,300.00

(TWO HANDS), MAXIMUM BREATH PER MINUTE:4~tl.l:'M,MASK SUb: ~,oz TUtlb (STAK LUMbN2.1M, SHJCON, REUSABLE, NON-RE-BREATHlNG,SURGlTECH

RESUSCITATOR BAG, INFANT/ NEONATE, WITH~,L4.CV Al'.:rn 'l.rAT lJr.:'. ,u:~,a "D"Or.:'CCTWr.:' "Or.:'T mr.J. .. ..LtLU..l.1Io..J.LJ..~L' y.J.LL.J" ........ ""TV..L.. .J...LI,.L..L"-LIUUU.L"-LI .L~.._,.I...J...<.1.

VALVE: 40+/- SCM H2O, 02 RESERVOIR BAG

PIECEVOLUME: 600ML, RESUSCITATOR BAG VALVE:

10 2,430,00 24,300.00280ML, STROKE VOLUME: 100ML MAXIMUMBREATH PER MINUTE: 98BPM, MASK SIZE: 1, 02TUBE (STAR LUMEN 2.1M SILICON, REUSABLE,

~ NON-RE-rlREATHlNG, SURGlTECH

- ._'"' 4 ••• _ .... ,"' ..... J.l. ...... ,

Batangas M~clical Cel1i:'!' I SUBTOTAL 1,562,982.60

(Total Amount-in Words) COMISSION or,! /".1 ,L;ll II.. . . '''!'-I> .

1M. ....,.-'2'-' ....., ~"t..rf'''l:~l.e.:~,_'''' t-..'"'t ~~l· ....,.~1~......,. ,~-~¥!~,~~../!.!!ll A,_..,.l~ .: ~.!') t-~ ....,. ~~"'7jh,,""'A ~l"'.<v.......,. -'1 ~.,.~...,~~l~· ~_f' c'"t."....,_ .......,.~~t-h /1 !l{)\ Af' A>!-'t.....,./l). >!"\ .......rr>.(">Mt- .fAr.&.I. ... "'_~"" V~ ...""' .......~'" '"''OJ .&..L.L .......... "" w..L"",, ~ ""' ........,L, ......&.J '" w. """~~~~t"' ..... ~ ..........u. '"''oJ ...... , -.t''''''.I..a.-'''''J v.&. V ........... "'....................., ... , ......... , v .... ....,.......""" , ....) t'''"''...''' .......I. ... ''' .... V..l.

every day of delay shall be impt~Dn the UDdi!l~fif;!;-----.U",. ~~. -:,1:L ' •0f'J ery y yours, yvTune _ -

JRAMONCITO C. MAGNA YE,MD,FPCS,MHA

Medical Center ChiefII N 8 OCT 202Conforme: 1-

Signature over print a name of S,,~lihDate /'IJ II 14

Fund Cluster: 01I

ORSIBURS No,:Funds Available: Date of the ORS/BURS:

CARMIN,&LO,CPA Amount:

-{'{CO (tIV IOf Lf-f 7W'J1 ~ AO .......... J f}/ 1.4

)-'1.45'" .ioU/AT

P.O. No. -------21-10-0275



r>: ~PURCHASE ORDER


~1Jnn1iJll.J". STA, ANA ENTERPRISES P_O_N~_ 21-10-0275--.0:-.0:----- - IAddress: No. 10 Bellington St., Suburbia North Date: October 01, 2021




Place of Delivery: Batangas Medical Center , . Delivery Term: NO P,O., NO Acceptance


Stock!Property . Unit Description Quantity Unit Cost Amount

No.

Balanced Forwarded 1,562,982.60STRETCHER MATTRESS, WATERPROOF FOAM,WITH LEATHERETTE COVER, BACK REST IS

~ PIECE ADJUST ABLE, EASILY BUT ATTACHED TO BACK 10 3,945.00 39,450.00UP CUSlllON, TRIANGULAR L-77", W-25", T-3.5",GENERIC

TONGUE DEPRESSOR, STERILE, BLADE TONGUE,

BOXSIZE: 5-1/2", 1OO'S/BOX, BIODEGRADBLE, lllGH

50 137.70 6,885.00QUALITY WOOD, HIGH TENSILE STRENGTH,SPLINTER FREE EDGES, UNIMEX

BP CUFF, ADULT, NON-STERILE, MADE OFPIECE CLOTH WI LARGE VELCRO, LATEX FREE, PVC SO 11200 .1/,)0000

FREE, BOX OF 20PACKS, INMED

, BP CUFF, PEDTA, NON-STERILE, MADE OF CLOTH,

PIECE WI LARGE VELCRO, LATEX FREE, PVC FREE, 50 65.00 3,250.00BOX OF 20PACKS, INMED

~BP CUFF INFLATABLE, ADULT, LATEX RUBBER

PIECE MATERIAL, INMED 50 114.00 5,700.00

; Batangas Medical Cel)i('f I SUBTOTAL J,,623,867.60

(Total Amount in Words) 1 COMISSION 01\1 AUDiT !:I

In case of failure to make thet deli~~ ~~ wed ,hove, a penally of one-tenth (1110) of one (1) percent forevery day of delay shall be imp s~,~n the_unde' ~~~~. ____ ,

1".", •. _ -lITlT ,J1JJ,f V=njdyyo_ tvLI1I11~~ ~-~U i'" : _ . AMONCTTO C. MAGNA VE,MD,FPCS,MHA

L Medical Center Chief IIConforme: o 8 OCT 2021

Signature over I{inted name of sU~~ie7Date /6 J / -1,/f

F!.lnd ('l!.lstl:"r: a fORS/HT_TRS No.:

Funds Available: [Date of the ORSIBURS:

(g_' Amount:

%NI~JCARMIN~LO,CPAcco ('"

....A..,~ ___ . __ J J.11.#

PU15t; .1..1.1 J.'"

DOH Government Accountmg Manual

.SuppHer: STA, ANA ENTERPRISES P.o. No. -------21-10-0275


Address: No. 10 Bellington St., Suburbia North Date: October 01, 2021Maimpis, San Fernando City, Pampanga



Place of Delivery: Batangas Medical Center Delivery Term: so P.O., N_Q Acceptance



No.


PiECEBP CUFF JNFLAT ABLE.. PEDJA LATEX RIlBBER

25 i i4.00 2,850.00.MATERIAL, INMEDr',

ENTERAL FEEDING CONTAINER, WITH TUBING,ROLLER CLAMP AND· CONNECTOR USEDDURING ENTERAL FEEDING, STABLE

• PlliCESTRUCTIJRE AND NON-COlLAPSIBLE, 50 660.00 :33,000.00MINIMIZES FORMULA SPILLS AND WASTECALIBRATED UPT TO 60CC BY 1DCC INCREMENTFOR IMPROVED FEEDING ACCURACY AND EASY

.READ 'GRADUATIONS, UNIMEX

tsO'l'lLJ::HYDROGEN PERO:XIDF~ ]20MT..,3~/';\ANTISEPTIC/

i.000 24.50 24,500.00I DISINFECTANT SOLUTION, STERILE, lCHEl\1lE

LIQUOR CRESOLIS SAPONATUS, HOSPITALGRADE, CONCENTRATE SOLUTION, ALCOHOL

GALLONFREE AND BLEACH FREE, DISINFECT ANT 300 2,325.00 697,500.00CONCF'NTR ATF WI oo QO/.., FFFICACY FVFN WHFN

r-....DILUTW ...O-BENZYL, P-CHLOROPHENOL, 3.6LI~ .- -'-'-"'~-,....... _.._-GAL., 1GAL~~W~Rlalcal C~;~;~:i-;'-'-:

i COMISSION ON ?UDIT SUBTOTAL 2,381,717.60

(Total Amount in Words RECED/ED \

In case of failure to make tb :tQll deliv~!Y_~~ ~ ..tjlne specifie~ above, a penalty of one-tenth (1/10) of one (1) percent for

every day of delay shall be ld'l>n th~un~~~~ ,Tune I L/ ~_}ruI= - y yours, r'{-_ ..--~--.--

RAMONCITO C, MAGNA V'F'7MD7FPCS7MHA

)_ Medical Center Chief ITOConforme: - B OCT 2021

Signature over printr name o?o~i1Date 0 'I !l/a I

-r.'____ J. ..,.."L __ ol.. ____ .r\nC" IT'''l,t'" mC" "l-_T __

.L'W.LUvlU;)LC1. Vft.:)/llUft.:) l~U ..

Funds Available:

C~STILLO,cPA

Dateof the ORSIBURS:Amount:

/-:tf!t '0::'1(

countant IVpage 12114


r=>. «<;


~JJnn1i~1". STA, ANA ENTERPRISES r.o, No. 21-10-0275~-.......... -..Address: No. 10 Bellington St., Suburbia North Date: October 01,2021






IStock!



'I' 'I' TOu:rr.t 'T'nU:'. ='1' 'I' V Q,"/:'. HI.t 'l"l::U ern r ro r U.LJU.J.J.I.'-&.~J. ... .I..1..l. ....... J.LI.A.J.LJ.I. UV'-', .....,1. L..I..LJ.1.," IJv.J..Ju.J.JLJ.L.t,

r>. PIECENON-TOXIC, NON-GREASY, NON-IRRITATING 250 131.50 32,875.00JELLY, CLEAR BACTERIOSTATIC, HARMLESS TOHUMAN TISSUE, BOX OF 10, UNIMEX

PULSE OXIMETER, EXPANDED ACCURACY

PIECERANGE (60%-100% OXYGEN SATURATlON) NON- 50 1,285.00 64,250.00ADHESNE SENSOR WITH CERTIFICATE OFCALIBRATION, GENERIC

STYLET, ADULT, NON-STERILE, MALLEABLE

nTnr"'DMETAL RODS, COVERED WITH PLASTIC '"''''. ...........'" C~. 11 ""leA ("\/\

r .lDI._,D SHEATH, MORE OR LESS ATRAUMATIC TIP,LV uv,,(,. . ..Jv IJ,k..JV.VV

6. SMM:·1 O.OMM, RUSCH

STYLET, PEDlA, NON-STERILE, MALLEABLE

PffiCEMETAL RODS, COVERED WITH PLASTIC 20 662.50 13,25000~~""7""l' ~...,..,.,. '3. .. J- .... _:r"'> ., ...,....." .....~...~... ~ ....,...,....,~,.~ .. ~,..,..,.".... ,...,..,,...

I;:'OCf\ltt, 1VIVKn VKLn;::,;::, f\1Kf\U1V1f\II\.., Ill',

4. Ol\1M-6.5MM, RUSCH

2,505,342.60SUBTOTAL

In case of failure to make:very day of delay shall be .

'und Cluster:'unds Available:

ORS/BURS No.:Date of the ORSIBURS:Amount:

C~PAtantIV

nruu. 1~/].dr"'~o- ..._.-.


21-10-0275


[Supplier: STA, ANA ENTERPRISES

Address: No. 10 Bellington St., Suburbia North


TIN: 137-763-406-002

ULTRASOUND GEL, 250ML, WATER SOLUBLE,TUBE NON-GREASY, TUBE, BACTERIOSTATIC, NON-

IRRITATING, HYPOALLERGENIC, TRU GEL

Please attach the following if applicable upon delivery

(NO attachment NO acceptance of delivery)

1. Certificate of Product Registration from FDA2. Certificate of Good Manufacturing practice from FDA


-Pund Cluster: 0\Iqll ,8&&·(40

n on 1\J~.... ~. ':".0.:. -------



- -Gentlemen:




-Stock!

-



- -

In case of failure toevery day of delay sh

Funds Available:

250 65.00 16,250.00

TOTAL 2t521t592.60

ADC"/DTTDC" "'T.~ .-':....,n.:~i '&";v.i.·~ .i. -",J ..

. fT . 't'wo-million..jive.hUlJqred twenty one thousandjive hundred ninety two pesos &(Total Amount in wor~tana.a.~..II..1.6>di.anl C .

j rJTlTl'UU'tJ'nty. eruor ;. III.';:: I '

ake th~~ j.itiJ!n e tim:.jPoomed above, a penally of one-tenth (1/10) of one (1) percent forbe impb~&wjTh~{Gged ite1s.

Ov . __ \ .~ i Very truly yours, /'J~~l-w--,;--_-===_J

Conforrnc: ..... +IL~__~----~----Signature over Prin)'dllame of~S


Medical Center Chief II ,() 8 aCT 202f

Date of the ORSIBURS:Amount: 2;;21;;92.60

~ page is/I»


.A

,1WI0Nctto(.;J~tAGM4~~~.Medie.al centerChiVn

, , " ft' ...,~;,.:~,.f"",,,,,.U Ii Ul.I ~.

':.;..:r."-:;".:f#""""~"';:;'~'~,

~~ ..,"'t":",~.~ ••

.~

-- ...~. .- W'..;..;s...,.."\~ . ..".."" ~~ .. ~~ <lJt.~.~f' • '.":G.' ;:,,~Q. '. ~,~ '"~_.

1wtONC1TOC;_GN'A~~M~icaL~~~'p: ';

0,'8 '"ocr ,.• ,.

----...,_

PURCUASE ORDERBAT ANGAS MEDJCAL CENTER

.~.

_. .Address: # 1,Do}:!glas Fir ,St.. Greenwoods, Pallocan East, Date: October <rt , 2021

B~an~astityTIN: 188-243~279-000 Mode of Procurement: PB June 2021

,-

Gentlemen:Please furni~h this Office the following articles subject to.the terms and c-9ndih(ms contained ,b,er~in: . _.

Pla~ of tiei'~ery:-.,. ':,; , .c' " ."" ,C ,"

Delivery Term: , ,NO P.O" NS! ACCeptanceIWaQgas Me4kal Cent~r

Date of Delivery: As Need Arises Payment Term: 30 _~ys upO,,~.~~!flp~t.e.,~~,ry. '~-......;.- ...;....__.....- ..---- ........-- ~.'-"

StoCk/'Property Unit Description Quantity Unit Cost Amount

No.Ba/anced Forwarded 9,223,640.20

STERILE KNOT TIES 4"{),STERll,.E., MADE OF V--.

PIECECOTTON, NON-ABSORBABLE LENGTH: 18X1O 20 99.98 1,999,60-STRAWS, _g:MG.RMG IlOSPlT AL SUPPLY IN.C~TAIWAN

B..t~ngas Me~it'BI ~:e:11~·rCOr\ ISSION ON ,A,UDIT I -

IR~<I~ED 1:By : 11""Y ..,.,;) I _ODte 'Ii'll r1/~ozJ -_,Time J·.ii5 1-

_______j 13~.~B~m=~h~R=e~J~==se~L~·e~rt=lb~·~=t=e~tr~om~r=D~A~~_~ ~ __ ~:;~_r--_;~-~·-;j~~-~--1~TOTAL 9,215.639.80

,..--4- __ ---_. ,,__'"

Note:

(NO allachment NO acceptance of delivery)

1. C~rti,fi~ or,Pr.Qduc't R~is~tioll tfom FDA

2. Certificate of Good Manufacturing qractice from FDA" - - .. -, - "•. ~ .... _' #.."",_

(Total Amount in Words)Nine .mi.llion two /J.tlfldred twenJYfive tl1fJusa"d six ~,un_d!edJhirly nine pesos &891100 only.

. ,

in case of failure to make the full aenvery Wlttlln me tune specinec aeove, a penally or one-renm till U) or one t I) percent tor Ievery day of deiay shall be imposed on the undelivered item/s.

Very truly yours, ~

RAMONCITO C. MAGNA YE.MD,FPCS.MHA\~",A;",,1 r-; ..t"'~ rt-" ..r n 0 21... ~~v_ ~w ... w. ~_. .. ~. .. 8 OCT 20

FtmQCh.,lSW·funds Available:


ORSlBllRS- o :Date of the ORSfBURS:Amount: 9,2%5,639.80

'.,_ /".c»:

-. . -~.. -". " , ,: '. ~ . '., " .'_ . .,.'. .. .~~;......_", ...; ""'PURCBASE:ORDER-

BAtANGAS·MEDICAL CENTER ~,

~ ., .' ~ ,~ , .

'lfprli~r! ·S.HOOTING STAR TR4DING P,Q.Nu.' , 21~J Q,·(t?1;\- _,

~ddress: #1 Doullas Fir Bt.z Greenwoods, Pallocan Bast, Date: October Q1, 2021

6:l;l:tan~~C ttyfIN: .188..243';·219-000 Mode of Pr06:urement: PB-June 2021

,~ .. ~

;entlemen:Please. furnish this Ofticethe following artjcles ~ubj~_ette the terms. 3J\d_codditi.ons contained herem, ",.

ii®e ofBe:livery: Bat.!'Iu'Med(ui Center..

Delivery. t.erm: M)Jto., NO Acceptanct

)ate of Delivery: As Need Arises Payment Term: 30 days' upon complete delivery-- ...~.------ ...- .......--<-'- .....~~.-----'"'" ---:---7"'----":'.!"-.~.~~""Y."':"'.~'!'._~...,.':!" ..I".... ~": .....

~toCkJ .DescriptionProperty Unit Quantity Unit Cost Amount

No,".

Balanced Forwarded 8,966..125.00I

BLUE. POL ¥PROPYLENE, 3/0 19MM. 3/8 CIRCLE.. ,PIECE REVERSE curnso, 4SGM, SP665. SU'RGIPRO*, 3-0 400 431,04 172,416;00 I. 45CM C-13, COVJl>IEN. COVIDmN PVT LTl), USA

Fund-Cluster:Funds Available:

810.00 81,000.00

20PIECE

POL \'PROPYLENE. 6/0, 16rvfM, 3/8 CIRCLE,,PIECE REVERSE t:trM1NO, 4SCM. SP660, SURGlPRO* 6-0

45CM C-12. COVIDlEN. COVIDIEN PVT LTD, USA

100

STERILE K!'lOT TIES ::-O, STERILE, •. !.A.DEOfCOTTON, NON-ABSORBABLE LENGTH; lSXIOSTRA."'IDS'"RMG. RMG HOSP1T At SUPPLY INC ..TAIWAN

1,999.6099.98

PIECEl ,999,60 v--

ORS/BURS No.:Date of the ORSIBURS:Amount:

DOH Obveroirient Accounting Manual

, . ~ c .." . '/-'<~

PURCHASE, ORDERBAtANGAS MEDICAL CENTE:R

!~pf.'n('r. SHOOTING STA'R TIl_AIlING .. 1,Q. ~'.~' .21-1 (\.0273ddrw: ,#1 Dou!!as Fir sr, Greenwoods, Pallocan East. Da.te: October 0 t , 20.2 t

aatanias City-I'

IN: 188..243.,219-000 Mode of Procurement: PH'june-202l" "

entlemen:Please (urnish ~is Office th~:fo1Jowmg t¥ti(:Jes,,subjecttQ tPe t,~ and conditiOns contained·herein:

lace o{Oelivery; BataBl8S :Medi(al, Center Delivery Tenn: NO,P'.O., 'NO Acceptance~. - -

ate of Delivery: As Need Arises Payment Term: 30 days upon complete delivery_'~ __ ""'____ ""'R"'_"_"_"_""_""'''' --:---,-~,.",,,,,,,~-----.-,,,,,,<;-:-~,,:,,"..~...-~,\..'~,,,,,,,..


No.

Balanced Forwarded 6,984,913.00I

OXYGEN SENSOR, ADULT, DlSPOSAaLE,

P1ECEREUSABLE, WI MlNlATURE SOLID STATE. 500 1,-200.00 600,000,00 I'TRANS-DUeitt LAlEX fREE. 24SIBOX NELLCOR,COvrDlEN PVT LTD. USA

OXYGEN SENSOR., NEONATE, DISPOSABU,

PIECEREUSABLE, Wi MINlA TURE SOLID STATE. 500 l,200.00 600,000.00TRANSDUCER, LATEX FREE. 24SIBOX. NELL-COR.COVlI)lEN PYT LTD. USA

o'\'Vr~ ...: <:PNSO. PEDL nT(;Pl'\.(! .HU r_._. _-..10 "_'--l

600,000,00

181,312.00

0) of one ( l) percent for

~RAMONCITO C. MAGNA YE,MD,FPCS..MJIA

Medical Center Chief II 0 S OC1 1.021

"

I

l

Date

10RIS!:BUR~No.:ID~~of tl!~Q!l..sm'J~...s:Amount:

"IFund (.'luster:-,::".,A" Avail",hl .. ·... ,.,.A_'_.-JI I .. ,,. ........... _ ...._.,

(

~\' I, , DOH Government Accounting Manual

I

I

PURCHASE ORDERBAT AN GAS MEDICAL CENTER

~Hprficr.1 SllOOTJNG ST.4.R TRADINGAddre8': # 1 Douglas Fir St., Greenwoods, Pallocan East,

Betangas Cjty

21 ..1()"'0271Date: October 01, ;?021

'TIN: I8S~243-279-000I

Mode of Procurement: PB June 202]

Gentlemen:Please furnish this Office the following articles subject to the, terms ~d. con$ions eontained herein: ,

Place of'Delivery: "BatJID,aS Medical Center &iiv~ Term: N2 p,o" II2'Acceptance

Date of Delivery: As Need Arises .

Stock!Property

No.Unrt

25

Balanced F (lrwtll'df!d

149,99


THERMAL PAPER FOR UTZ, I lOMM X 18M, TYPEROLL B, HIGH GLOSSY, SONOMED, MALAYSIA 5 995.00

Toro MONlTOR THFRM>\l P>\PFR .\.0\0/('",0

BOX 4305; 152X 90 MM X 1SO SHEET,80 PACKSraOX,SONOMED. MALAYSiA

BED PAN, PLASTIC. SIZE L-12",~·':::djt3/4".3". - , - .. ,PtECE DURABLE PLASTlC MATERIAl, ~'([email protected] M8 iC~il~O', " 54,99

LOCAL, 'PHILIPPINES MlSS'0 NO, ..I 1\ U I_; T 1, -

PIECE

24 29,999.00

TRACHEAL MASK MADE FROM COMFORTABLENON-AITIN<1 MATFRI At rsn ,1('ONi POI Y'Vl'N"Yl,),WI SWIVEL TUBING. CONNECTOR.STRETCHABLE TIE FOR BEITER. FIT, LIGHTWEIGHT, HUDSONffELEFELX .INC, USA

Amount

6,250,713.25

14,975,00

I719,976,00

3,749.75

5 499.00 ---t

8 " ). L,'(Total AmoUnt in Words) , V r- -1'lQw .._,.., _U.m 11"1,,,_,-'-'- fiIn case of failure to make the full delivery within the h1J'W1~geCifJ",;; ~n< -tenth (i II0) of one (l)percent or

every day of delay shall be imposed on the undelivere :••_i:. - .J:~/ Very truly yours, 7' .-

d~ RAMONCITO C. MAGNA YE,MDJ,'PCStMHA~ ,.r. Medical Center Chief 11 C OCT 2021

/r3;:}..'f~1 r;l~ I-<-~ 8SignatW'e ov,l,r print;-d ')":Me of Supplier

Date / /(5lit j'tl

'Fund Cluster:Funds Available:

"61,


ORSiBURS No"Date of the ORSIBURS:Amount:

" . '. ~- ,.

PURCHASE, ORDER. .

BATANGAS .MEDICAL CENTER

;Address: #1 Douglas .Fir'St.. Greenwoods, Pallecan East; Dat~ Oc,tob¢r \I t, 2021

Batan~as CityTIN: 18&-243-279-:-000. Mode of Pro~ur~Q1.,en~;,PB June 2021

Gentlemen:Please furriish this Otli~ the: folloWing artic~essu\:?iect to: tl1:~~~rttlSan<\~ortdillons: contaiJle,g herein: , ,-"

Place of Delivery; B$ta-'l8S ¥edical-CenteT DeliverY, TeJfu;' Nfl P.O.•,NUAtceptal1ce

Date of Delivery: As Need Arises Payment Term: ~~~Y_S_l!.PO!lc'?~~~~?elive:l __._.,.......__ ........_.._--_ ..._---.-._--__,._-_ ..

Stock!Property Unit Descriptien Quanttty Unit Cost Amount

No,Balanced Forwarded 5,409,414.00

SPONGE BANDAGE, 3X3, MEDCUM, JTRANSLUCENT. WHITE UNSTERILE, 10,O'S"PACK ·ROSEMEDJIANG8U RUIYU H:OSPITAL PRODUCTS· 1,000 228.00 218,000.00

, " ICOLTO, JlANOSU, ('lUNA

STEAivi iNDiCAl'ok TAPE, LA'iEX EiU:.E. ';:;,QN;)ii)TOF ADHESIVE. BACKING ANI) CHEMICAL

ROLL STRIPES. Stt,E: 3/4" OR,O.70 (t8!).,{M), ORMED, 100 399.00 39,900.00NtNGBO GRE~TMED !NfL TRADt to LTD,CHINA

I I I I , ISTOP COCK 3·WAY, STERILE;, SINGLE.US,E,PYROGENIC, FULLY TRANSPO;RT CARBONAD;DBODY, WITH ARROW INDICATIO V~~L""';' .,. -. ..... .

.22.00PIECE IND,le AT10NS DIRECTION OF FLO~, N .j,~, ~e"'WQ "'. 2.200,00I,., ,','. ..,' '.!

""T j50SIBOX, INDOPLAS. KENXlN itIT' dOOi'dI8'8JC N G:: iIi,_ , ,t.,.' J

TERRlTORlE. HONGKONG REC I=IV~""". I .".-t11-0 ... ,,'~'

By -~ ~4.."._ .~·rDTO~ AL 5,679,514.00_~~L. ..~lJ'Clle' ~r{)IIJ.1 7i521 ,

(Total Amount in Words) TlIlle , -"J]ii-- I_ _ _o_ i

In case-offailute to m$e dle full deli\1ery within the time specified above,'a penany 01l:5!f~ (lll 0) of Me (1) percent forevery ctay of delay shall be imposed on the undelivered 'item/s,

-: Very truly yours, yVRAMONCITO C. MAGNA YE,MD,FPCS,MHA

?-v'rY~/Medical Center Chief II 0 8 OCT 2021

~ h~-G",nfo..-rne'

Signature-over '1mrIC of SupplierDate 1() /1 'Z-i

l;<uo<H::tuster: 01 - utUS/t!U K~ No:!Punds Available: .--". Date of the ORSfaURS:

C;~~.cPi'

Amount:

q ('

( " "'i.J)d J,~ ... paR" """]:1,

I ' 00l{ Government Accounting Manual

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PURCHASE ORDERBATANGAS MEmCAL CENTER

lpplicm SHOOTING STAR TRADING i, P.o. No.. :n~IO.()27~-------ddress: #1 Douglas Fir St.,~,Greenwoods, PalLocan East,

Batangas CityDate: October Ot. 2021

IN: 188-243..,279-000 Mode of Procurement: fa June 2021

entlemen:Please fimllsh this 'Office the following articles subject to the terms and conditions contained herein:

lace of Delivery; Datalllas'Medical (':enter Delivery Term: -aU P.O., tiQAc.ceptance .

'ate of Delivery:

Stock!Property

No.Unit

93.99

Amount

Balanced Forwarded

SVRGlCAL SCRUB BRUSH, 2~'SI BOX. STERILE, SOfTFOAM SPONGE, LATEX fREE. WI FJNGER NAIL.

PIECE CLEANER,W/CI,.EANSERSOLUTION,lNDIVIDUALLY 5,000PACKED, POVU)ONW/CHLORHEXIDINE., MEOISCRVi.ROVERS MEDICAL DEVJCES, NETHERLANDS

I PIECE

PIECE


IlHtRMAL UKAP.l:.~~ A1>UL'l. NUN-S·II::.~J..C:.Pl:.UlAIKlC'1ADULT, NON-CONDUC'TIVE. SAFE TO USE WITHELECTRO SURGICAL UNIT, ANTI STATIC.RADIOLUSCENT, CELLULOSE AND-COTIO~ LOWDENSITY POL YETHYLENE, ALUMINUM, ARMSTRONG,ARMSTRONG MEDiCAL LTD .. NORTHERN IRELAND

1,349.9925

... _ ~.... !..:_, )SU~TOTAL~, . \ I" It .•

5,619,5 J 4.00

469,950.00

~D7t]]~jJ~'- . I(Total Amount in Words)

:33.749.75

67,499,50

6.250.713.25

I in case offanure {O make the full deirvery wnnm " saecinen a;>o~ a l' "" :~ .._~e-temh ~ifiv) 01.' one ~i.jpercent ror Ievery day of delay shall be imposed on the undelivered Item/S, I

Very truly yours, rvRAMONcrrO C. MAGNA YE,MD,FPCS,MHA

~i'.:'d!cfl.!Center ChicH! 0 8 OCT 2021


ORSIBUR .0'

Date of the ORS/BURS;Amount:

TILLO,CPA

,', \' DOH Government Accounting Manual

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PURCflAS.E ORDERBATANGAS ME~ICAL CENTER

I,IVpJil.'r! SHOOTING STAR TF_<\IlING PO~NlJ . 21...10~O?7q.-._- -- - ,_ -..~. - -

.ddress: #.) Douglas F~St, Greenwoods, Pallocan East • Date: O¢~oper 01, 20~ I-aat~m&as-Cjty~

'IN: 1.88-243",2 79-00.0 Mode of Procurement: PBJun~2021..

entlemen:Please furnish thisQfftce the, following articles subject to the terms and conditions contained herein:

.'. .\_.,; " • "'M':'" '::..

lace of Delivery: Ba.tanl~' Mecjiai Center. Dehveryferm: -NOP.t>.. NO Acceptance f

tate of Delivery: .As Need Arises Payment Term: }~.~~~n compJe~c:..~_~.I1~~ry,_.r-<~_"'--""_'" .............. -_ ......... _,_ - ,•.~,"


,No.}lgllllJCed Forwarded 5,217,724.00

I

NASOPHARYNGEAL AlRWAY, FR2S, STERn..£,NATURAL RUBBER LATEX WITH ADJUSTABLE

PIECE FLANGE SOFT. NON-IRRITATING TO' MUCUSMEMBRANE, lOSIBOX, RUSCH, TELEfLEXMEDICAL CO. IRELAND

SKIN TRACTION SMALL. LONGBONE,PlECE PHILIPPINES

SKIN TRACTION MEDJUM, LONGBONE,PIECE PHlLIPPINES

SKlN TRACTION l.ARGE. LONI PiEC.b Inull tDDI}J'C1;:

C'lu.s_...U·" -L1....L.oa..1l·


.very day of delay shal! be imposed on the undelivered item/SoVery truly yours,


10

1,440.00

4.4.90.00

72",0(}0 00

72,000.00

~.409.414.00

RAMONCITO C. MAGNAYE,MD.FPCS~MBAMedical Center Chief II (G 8 OCT.1

449.00

0\ ORS/BURS No.;Date of the ORS/BURS:Amount;

50 1,440.00


CARMlNA

5{)

',~;::===:::--_._._- .....

PURCHASE ORDER'BATANGAS MEDICAL CENTER

Address: #1 Douglas Fir St., Greenwoods, Pallocan East,Batangas City

Date: October 0 I, 2021

ITIN: 188-243~279-000 Mode ef Proc:ureme.nt: PH June 2021

IOentiemen:Please fumisl\ ~s Office the following articles sub' ect to the terms and conditions contained herein:

Place ofi)~Hvcry:. B._nlas Medical ceoter Delivery'Tenn; NO P.O~,NOAtceerance

Date of Del ivery:I

AS Need Arises~..;..,. ....;.....;..- ..... ---~~..;..-~.;_ ......-.,--------.-.---.---,Stock!

PropertyNo,

Umt

10

.Balanced F (Jrwa"ded

449.00

Amount

NASOPHARYNGEAL AIRW AV, FR14 STERILE,NAtURAL RUBBER LATEX, WITH ADJUSTABLE

PIECE FLANGE SOFT, NON-IRRITATING TO MUCUS?-•..f~ •.ffiP_A,.!I.~E,10S.'80::-:. RUSCH, TELEFLEXMEDICAL CO, IRELAND

PIECE


NASAL STRIP CANNULA, lNF .ANT (NEONATE),NON-STERn.£, MADE FROM NON· TOXIC PVC,TRANSPA}U:NT, SUPPLIED STERfLE ININDIVIDUAL PEELABLE POL YBAG OR BLlSJiERPACK, 1SOSIPACK, ORMEDININGBO OREElMED

100 53.76


5,203,368.00

5,376.00

J

I4,490.00

4.49000

5,117,12'4.00

I: ~mie- enth (1/10) of one (J ) percent for> ' ..In case 'of failure to trulke the full de}ivery within the tune speemee ovv

every ~y of delay ~hallbe imposed on the undelivered item/soVery truly yours,

Confon»e:

RAMONCITO C. MAGNA YE,MD.FPCS,MHAMedical Center Chief II 0 8 OCT 202t

IFundCluster:J:...rt...tc Auo;lcahl ,.. U,f, ......_~ o( •• ~ ...... _ .

'I0R.S/.BU~ NQDate of the ORSIBURS:

.~~al IAmO,",C•. ,1

I

I

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PUR€HASE ORDERBAT ANGAS MEDICAL CENTER

~HppU(.'r~ SHOOTING STAR TRAIlING p·O. NlJr .,1-1()..()?7~.. "''':'''~ .-'.. -.. ,

!\ddress:. # 1 Dou&!asFir St. Greenwoods, Pallocan East~ I)ate: October 01, 2021

Bat3nSas Cjt~fIN: 188-243';279"()00 Mode of procurement: PB June 2021

Gentlemen:Please furnish this Office the following:articles subject to the terms and conditions contained herein: ." --

Place of Delivery: Bafayas M~caI Center Delivery Term: NO P,O.•NO Acceptance

Date of Delivery; As Need Arises Payment Term: 30 days uP~~..?2~P]~_~:'deJive.'X.. ~.•___ o_._., Stock}



PIECENASAL AIRWAY, 7MM. RUBBER. NON-STER.ILE, 5 449.00 2,245.00 iRUSCH, TELEFLEX MEDICAL CO, MALA YSlA

.PIECENASAL AlRW AY. 9MM. RUBBER, NON-STERILE, 5 449.00 2,245.00 IRUSCH. TEtEFLEX ~1ED!(,_A.J_("0, ~·!.A.1...:t\Y5fA.

NASAL STRIP CAN~'ULA, PEDIA, NO ··STERILE.MAOE FROM NON·TOXIC PVC. TRANSPARENT.

PIECESUPPLiED STERILE IN INDlVIDUAL PEELABLE 200 45.00 9,000.00POL YBAG OR BUSTER PACK, 150S/CASE.uKMHm.J"fN(Ji:sO (r.k.E.bTMEI) LNTL TRiWE I...ULTD., CHINA

NASAL STRIP CANNULA. AOlIL T, ~..sTF.Rn.E.MADE FROM NON· TOXIC PVC. TR~S=--'-'-._"'-.~SUPPLIED STERlLE IN lNDIVIDUA ~,~foft .a~~~"'J»q~~::<'r9 4~ 19,71500

PIECE nA' v-n \I'" Olt 'D' 'C'T':~ '" C'K '5( I J.....• I J.t 'V'i.J • LotI ...."" ...., ........ "" .........., 1 ~ " "' ....n.....L<. Of -'. ,

\ \~RMBDININGBO GREETMED rsr "TRAOReC =IVED\ ILTD., CHINA .... r--i--' • ilY • z-r .,J.. -.- SUBTotr A·L 5.203,3'68.00

1::11. -=-rii ... - '.Tillie

_.1 J. ../.0:.// i

(Total Amount hl Words)I ,J:,~"'i"- !

[0 case offailure to make the full delivery within the time specinee lWV "> ......J+: :.Q.f.mle.-).£hth (1J I0) of one ( I) percent for

every day of delay shall be imposed on the undelivered item/s.

tr>Lv ery ~y yours,

RAMONCrrO C. MAGNA YE.MD.FPCS,MltA

?A-y£!( (/t, ~- Medical Center Chief 110 8 OCT 2tl21Cnnfnrme' Signa;~:=sr»: of Supplier

(

0\ UK!){tsUK.~ No.:t-und uuster:Funds Available: ..,.--.,.. Date of the ORSIBURS:

(j- Amount:

1~«DlICARMlN~:~~P~~~Ac un V pagf: t421

'" ;~ anualDOH. Government Accounung M

/

$,~pp!i~rt·S:1I00TING STAR TRADING____ ' _._ ___.__ •• __ •• _~._._. • M , __ •• _ .~ ••• _oM' __ ._. _.

PIJliCBASE~ORDERBAT ANGAS MEDICAL CENTER

I

lil Dou8!as Fir.St., Greenwoods~ Pallocan Eas~[Address; Date~ October 01, 2021I _Bat~nl~ C ttyI

ll'lN: 188...:243'-279-000 Mode of Pr9cur~me ..e. 1>13June:2021. - -

.-

Gentlemen:Pleq~; ~mish ;his Ofti_cethe following-articles subjecl eo thetems and conditions~pnt:mledli~~in::.. .' .... -, ........ .. --

PJace of Delivery: JJatanlas:MeEfitafCenter. Delivery ·Tenn: NO i'.Q.;: NO A~eptatlce• .."_ _ L.

Date of Delivery: As .Need Arises Payment Term- !.£~ys tpon CO~l.~!~~.!!!!~ ..___._I --.._,"'- ..-....---.,....._....-.-~-................ - ...-_ ..._ ....

Stock!Property Unit Descnpnon Quantity Unit Cost Amount

No.Balanced Fonvarded 4,466,611.00

I CARDOt~ Dl0XlDr. ADSORDCt,T j\.1tDi.CAL I IPAlL GRADE 31LBS MINIMUM, SODASOIW, HENKEL 20 7,950,00 159,000,00 .i.

CORP. USA

COTTON BALLS, 300 BALLS/P ACK AUSO,RJlliNT". IUNSTERILE. PURE COTTON, FINE f.lBEltS At-.'l)PACr.;. CLOSc.i., Y fA.(;b.j:.i) W(ii::. i l:illR, ruKi:;.. ow Hii E 2,000 7J.S0 i47,000.00

cotes, UNlME)4 NlNGBO GREATCARETRADING CO. LTD. NINGBO, CHINA

PACKCTG PAPER, 150SHEETS/PACK 152MM X 90MM, 800 404.99 323,992.0080SfBOX. SONOMED. MALAYSIALARYNGEAL l'v1ASK.SIZE: 4. NON-STERlL:aSINGLE.USE, THICKER FIXATION TAB.OROGASTRI.C PORT, SOFtER BITE BLOCK, LMA ;

P..lECEEVOLUTION CURVE, ELONGATED COFf .•HIGH ,---- ....3!!.____ 2,4jO.OQ 72,900.00CLAss PVC SILICONE TUBE 4AJR~t1I tNel.-AADT!~-A 1\1'N'D4.B1.P.AND CURVED PLA~~\\9~~;(d~ Jt Cc:»: r :

IUSABLE SlLICONE, AMBU A~~xl~~ r ;.) AUi_.>tT I -,INC, USA CI:r'cn

\t-r .. ';"-, 1

..._-_. ~ a....i..,,/SUIlTOTAL 5,170,163.00rl' , '")

uy -, 7i117t~::;;; !(Total Amounf in Words) ()<'Ite '-; ' .. ~-

. In case offailUl.'e tomake the full delivery within t el~~spe£!fied above: a pe~~ore.teoth (lIt 0) of one (1) percentforevery day of delay shall be imposed on the undelive .::-' . . . ----- J

Very truly yours,~

RAMONCITO C. MAGNAYE,MD.FPCS,MQAivieoJcai Center Cmer Ii 0 8 OCT 2021

Conformer ~ d.f-t~Signature/over ~7%h~of Supplier

Date .0 If 'Z /

Pund Ciust(;i"'~ Q OllSlBURSNv ..

Funds Available: ~.Date of the ORSIBURS:

\L. Amount:

CA.RMI·N~~t=,LLOtCPA r:tey (A· tlV I<?J ' ~=ll ~

palle J312]- . I I,t· { DOll Government Accounting Manual

PUR.CHASE ORDERBATANGAS MEDICAL CENTER

~!ppn~r~SHOOTING STAR TR.t.\ DING..ddress: #1 Douslas Fir St., Greenwoods, Pallocan East, .

Batangas CityDate·: October 01, 2021

'IN: 188~243-279-000 Mode of PrOf!urement: PB June 202 J

ientlemen:Please furnish this Office. the following articles<sub'~t to Ule terms and conditions containedherein:

'lace of DeUvery: Bata_gas Mediai Center Delivery Term: NOr.O., NO Acceptance

>ate of Delivery: As Need Arises Payment Term: 30 days upon complete delivery.-------------- _'-------_ .._---_.-. ......,,,"'.-

Stock!Property Unit Description . Quantity Unit Cost Amount

No.Balanced Forwarded 4,436.956.00

ANESll-t1:.::>iA MA5>K, i'EuIA, FLt.XfisL.t ANJ)

~PIECETRADmONAl., SOFT, PLIABLE., AIR-FILLED 10 447.00 4,470.00CUSHION PATENTED DUAL INFLATION, VITALSiGf:ilS/GE, GE HEALTHCARE CO, USA IANESTHESIA MASK, SMALL ADULT (TODDLE~).}'LE)'JBLE. r\]'m "lI~.A.Dr!"lO:~</~~L,SOFT, l")L!ABLE,

PIECE AIR-FILLED CUSHION PATENTED DUAL 20 447.00 8,940,00INFLATION" VITAL SIGNS/GE. GE I;!EALTHCARECO. USA

ANESTHESIA MASK. ADOL T, FLEXIBLE AND

PIECETRADIT!O ..•-\L. 50FT, PLL!J3!..E• .A1R-FILLED 15 447.00 6,705.00CUSHION PATENTED DUAL INFLATION. GEHEALTHC ARE CO. VlT Al SIGN$lGE, USA

4,466,6'71.00

1Q "'0


In case offailwe to make the fuii dei~~ery'withinevery day ofdelay shall be imposedon the undcliv.W!~"'""'~----

Conforme:

Funds Available:

SIBTOTAL

Very truly yours,

RAMONClTO C. MAGNA YE.MD.FPCS.MHAivlcuu.:ai Center Ciuef ii 0 8 OCT 2021


ORS.'13UP._$·Nc.,Date of the ORSIBURS:Amount:

.c:s pag« 1;;/22

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.. ~"'''., jv::.",mo - Batangas Medical Center Official Website

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